Tag Archives: Health Care

Canadian health system more efficient than the one in the U.S

This is no surprise…

It would be hard to find a less efficient system than that of the U.S. where doctors and patients are held hostage by numerous money hungry insurance companies.  No government bureaucracy could be more complex or difficult to navigate than that of the U.S. private health insurance carriers….

I know a lot of people who have been under the Canadian Health Care system at one time or another and all uniformly praise it when comparing it to our own dismal system…

I’m still struggling with President Obama giving up on the Public Option so easily in our Health Care Reform negotiations.  But then, we all now know, negotiations aren’t the President’s strong point.  He has a tendency to give too much too early in exchange for too little.  And the GOP knows it….

From The National Post:

 

The Canadian health-care system may be plagued by countless stories of lengthy wait times and crowded emergency rooms, but a new study shows the amount of time and money spent on administrative duties is a fraction of that required by the U.S. system.

The study from the University of Toronto and New York’s Cornell University says U.S. doctors pay an average of nearly $83,000 each for administrative costs associated with insurance documents. In Canada, for doctors based in Ontario that cost is significantly less at just over $22,200.

In addition, nurses, medical assistants and other hospital staff dedicate nearly 21 hours per week to filing insurance papers and other duties required to push insurance claims through. For the same duties in Ontario, just 2.5 hours are spent each week.

The findings of the study, published in the August edition of the journal Health Affairs, show that the “single payer” health-insurance system in Canada is largely responsible for the difference between countries.

It said the need for many U.S. patients to carry coverage from multiple insurance providers leads to the more demanding time commitments to file the appropriate documents.

Dr. Dante Morra, the study’s lead author, said the time savings felt in Canada go back to help the people who need it most.

“When we look at health care in Canada … there’s a lot of areas for improvement, but at the end of the day, sometimes we have to sit back and realize there is good access to care for Canadians,” said Morra, a Toronto doctor.

“There are a lot of benefits to the way we have structured our system and one of those benefits is this almost non-existent cost associated with dealing with payment. That time is directly invested into caring for patients.”

The study, which surveyed physicians on how much time was spent by themselves and other staff on filing insurance documents, said that if U.S. doctors were able to reel in the administrative costs to a level on par with those polled in Ontario, it would result in an annual savings of more than $27 billion for the American health-care system.

via Canadian health system more efficient than the one in the U.S.: study | Posted | National Post.

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Mac Stores Tell Workers, Instead of Giving You Health Care, Working for Apple ‘Should Be Looked at As An Experience’

Somewhere along the way, the social contract between workers and employers has completely disappeared in this country.

Workers now seem to be viewed solely as a cost to Corporate profits.  Unless you are a CEO, CFO or other very high level employee…

I hate to tell them, but the way to avoid Unions, which most companies fear like the Plague, is to treat your workers fairly.

Apple doesn’t seem to get this…

This is a disturbing article, from AlterNet.com, about one of my favorite companies that makes some of my favorite things.

I’m an Apple Addict.

What makes this so disturbing is that I’ve always seen Apple as such a modern, forward-thinking company.  And they are wildly successful and profitable.

 

 

Those workers who did ask received a consistent response: “Money shouldn’t be an issue when you’re employed at Apple.” Instead, managers said, the chance to work at Apple “should be looked at as an experience.” “You can’t live off of experience,” said the worker interviewed. The Wall Street Journal reported last week that Apple has outpaced Tiffany & Co. jewelers in retail sales per square foot.

Employees said that Apple keeps its healthcare costs down by defining even employees working 40 hours a week as part-time if they can’t guarantee open availability (availability to be scheduled to work anytime the store is open). The three workers interviewed said that most employees at each of their stores either work second jobs or go to school, making open availability impossible.

These workers are instead offered Apple’s “part-time” health insurance plan, which costs them much more and the company much less. The Bay Area worker, who works 32 to 40 hours a week, is currently going without medication for a serious health condition because he can’t afford the $120 to $150 a month for the “part time” plan. “$120 a month is what I live on after rent and bills,” he said. All three employees said that the majority of their co-workers were classified as part time.

via Mac Stores Tell Workers, Instead of Giving You Health Care, Working for Apple ‘Should Be Looked at As An Experience’ | | AlterNet.

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Vermont Moving Toward Single-Payer Health Care

One down, 49 states to go…

I love Vermont.  I spent some time there about 20 years ago and I think that experience was probably what planted the seed that eventually lead me to become a Democrat.

It’s can be a little crunchy granola, but Vermont is also an imminently sensible state that understands the need for people to look out for each other while applying good old New England Common Sense.

I hope other states will follow their example.

Single Payer is all that makes sense if you want to control Health Care Costs.

It works in Canada and the UK and just about every other first-world country…

From Reuters:

Vermont became the first state to lay the groundwork for single-payer health care on Thursday when its governor signed an ambitious bill aimed at establishing universal insurance coverage for all residents.

“This law recognizes an economic and fiscal imperative,” Democratic Governor Peter Shumlin said as he signed the bill into law at the State House.

“We must control the growth in health care costs that are putting families at economic risk and making it harder for small employers to do business.”

Legislators say the plan, approved by the Democratic controlled House and Senate this spring, aims to extend coverage to all 620,000 residents while containing soaring health care costs.

A key component establishes a state health benefits exchange, as mandated by new federal health care laws, that will offer coverage from private insurers, state-sponsored and multi-state plans. It also will include tax credits to make premiums affordable for uninsured Vermonters.

The exchange, called Green Mountain Care and managed by a five-member board, will set reimbursement rates for health care providers and streamline administration into a single, unified system.

Residents and small employers will be able to compare rates from the various plans and enroll for coverage of their choosing.

As designed, the goal is an eventual state-funded and operated single-payer system.

via Vermont moving toward single-payer health care | Reuters.

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Rand Paul: ‘Right to Health Care’ is Slavery

I still can’t believe this man is a U.S. Senator….

He’s a pompous, self-important, ignorant jackass- so that may mean he is qualified to be a Senator in today’s Senate…

Still, I somehow don’t find it funny for a rich white man to compare himself to a slave…

A hearing of the Senate HELP Subcommittee on Primary Health and Aging looked at emergency room use and took an odd turn Wednesday when Sen. Rand Paul compared the “right to health care” to slavery.

“With regard to the idea whether or not you have a right to health care you have to realize what that implies. I am a physician. You have a right to come to my house and conscript me. It means you believe in slavery. You are going to enslave not only me but the janitor at my hospital, the person who cleans my office, the assistants, the nurses. … You are basically saying you believe in slavery,” said Paul (R-Ky.), who is an ophthalmologist.

Paul, who is the subcommittee ranking member, said he believed that the notion of expanding federally funded community health centers to ensure that everyone had a “right” to care was not constitutional and would enslave doctors. Doctors, he said, should care for patients because of their own moral code.

“Our founding documents said you have a right to pursue happiness, but there’s no guarantee about physical comfort. When you say you have a ‘right’ to something there is an implication of force. … I will always treat people who come into the ER because that is what we always have done and because I believe in the Hippocratic Oath.”

Sen. Bernie Sanders (I-Vt.), who chairs the subcommittee turned to one of the hearing witnesses, Dr. Dana Kraus and asked her if she believed she was a slave working at a federally qualified health center.

“I love my job. I do not feel like a slave,” Kraus said.

via Rand Paul: ‘Right to health care’ is slavery – Kate Nocera – POLITICO.com.

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Happy National Nurses Week!

We are wrapping up National Nurses Week and I wanted to do my little bit to recognize these tireless men and women who contribute so much…

Thanks to all of you for all that you do!

Like Florence Nightingale, you are on the front line of all our health care battles and journeys…

Often described as an art and a science, nursing is a profession that embraces dedicated people with varied interests, strengths and passions because of the many opportunities the profession offers. As nurses, we work in emergency rooms, school based clinics, and homeless shelters, to name a few. We have many roles – from staff nurse to educator to nurse practitioner and nurse researcher – and serve all of them with passion for the profession and with a strong commitment to patient safety.

Background

National Nurses Week is celebrated annually from May 6, also known as National Nurses Day, through May 12, the birthday of Florence Nightingale, the founder of modern nursing. Visit the NNW History page, part of the NNW Media Kit. See below to learn more.

via National Nurses Week.

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The shocking truth about the birthplace of Obama’s policies – Ezra Klein – The Washington Post

Great article from Ezra Klein in The Washington Post…

He points out that the positions President Obama and the Democrats are taking are the same positions the Republicans once had…

Shows how far to the Right everything in Washington has moved over the last couple of years…

If you put aside the emergency measures required by the financial crisis, three major policy ideas have dominated American politics in recent years: a health-care plan that uses an individual mandate and tax subsidies to achieve near-universal coverage; a cap-and-trade plan that attempts to raise the prices of environmental pollutants to better account for their costs; and bringing tax rates up from their Bush-era lows as part of a bid to reduce the deficit. In each case, the position that Obama and the Democrats have staked out is the very position that moderate Republicans staked out in the early ’90s — and often, well into the 2000s.

via The shocking truth about the birthplace of Obama’s policies – Ezra Klein – The Washington Post.

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Paul Ryan’s plan puts 2012 elderly vote in play – Glenn Thrush and Abby Phillip – POLITICO.com

Like I said, I think the GOP may have just committed Political Suicide….

From Politico.com:

Obama’s 2008 campaign was fueled by youthful enthusiasm and billed as a generational upheaval. But older voters, especially white working-class conservatives, were not a natural hope-and-change crowd, and he lost among seniors by nine points to John McCain. Many of them simply stayed home.

That skepticism, bordering on hostility, has carried over to his presidency.

Over-65 voters have given Obama the lowest marks of any age cohort in every weekly Gallup presidential approval survey taken since Obama took office. Last week, only 36 percent of seniors approved of his performance, seven points less than Obama’s overall approval rating and 12 points lower than his positive rating among 18-to-24 year-olds.

But Ryan’s plan, embraced by most Republicans, gives Obama a big opportunity in 2012 to regain lost ground in key battleground states and narrow the generation gap. “It finally gives us an argument to make with seniors… It’s a godsend,” said a Democratic operative allied with Obama who sees the issue as a way to make up lost ground with seniors in Ohio, Pennsylvania, Iowa and Florida.

via Paul Ryan’s plan puts 2012 elderly vote in play – Glenn Thrush and Abby Phillip – POLITICO.com.

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Will Anyone Even Insure Seniors if Paul Ryan’s Medicare Plan Passes? | TPMDC

I thought of this right away….

There’s not money to be made insuring Senior Citizens, so why would private insurance companies cover them?

This is another reason Paul Ryan’s Republican proposal to kill Medicare just won’t work….

It’s not realistic.

But then, that never mattered to the GOP….

At first glance, Paul Ryan’s plan to send millions of seniors into the free market with dwindling vouchers in hand might seem a boon to the private insurance industry. But would companies even want to participate?

Unlike the Affordable Care Act, which mandated that millions of young and healthy Americans purchase insurance with government subsidies, the Paul Ryan plan would instead bring the oldest, sickest, and least profitable demographic to the table. And with the CBO projecting that the average senior would be on the hook for over two-thirds of their health care costs within just 10 years of the plan’s adoption — a proportion that is projected to worsen in the long run — the government subsidies backing them up may not bring in enough profitable customers to make things worthwhile.

“If reimbursement rates are too low to provide basic benefits, they’ll tell the government, ‘You do it,'” one insurance lobbyist told TPM. “I don’t think they can require they lose money, they’d just pull out.”

via Will Anyone Even Insure Seniors if Paul Ryan’s Medicare Plan Passes? | TPMDC.

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Legionnaires’ Disease Bug Found in Playboy Mansion Hot Tub After 123 Fall Ill

God knows, what else they found there….

Oh, and this is considered “world news” about the USA in the UK.

At least The Guardian thinks so…..

Health inspectors have found a possible source of illness among guests at Hugh Hefner’s Playboy mansion in Los Angeles: bacteria in the hot tub.

More than a 100 people fell ill after the fundraising party in February, reporting pneumonia and flu-like symptoms. Officials contacted 439 people who attended the event and found 123 had fallen sick with symptoms including fever, headache, cough, shortness of breath and aches. Sixty-nine people fell sick on the day of the party. Three tested positive for H1N1 flu.

The Los Angeles health department took samples from the water in the hot tub and identified the legionella bacterium which can cause the potentially fatal legionnaires’ disease.

via Legionnaires’ bug found in Playboy mansion hot tub after 123 fall ill | World news | The Guardian.

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The Republican Medicare Masacre

This is a very clear summary of the Republican Budget plan that they voted on today…

Basically, it ends Medicare for anyone currently under age 55.

Do you want to be old and at the mercy of insurance companies?

Do you have enough money saved to pay the additional $7000 per year it would cost you to pay for this insurance?  That is if the insurance companies will even offer it…

Think long and hard, folks…

Elections have consequences….

From the NY TImes:

Representative Paul Ryan and the House Republicans are portraying their budget proposal for the next fiscal year as a courageous effort to finally bring federal spending on Medicare under control. An analysis issued last week by the nonpartisan Congressional Budget Office finds that the Ryan proposal would sharply reduce federal spending — but at the price of shifting more of Medicare’s costs onto beneficiaries and their families.

How much more? Calculations derived from the C.B.O. analysis show that in 2022, when the Ryan plan would kick in, the typical 65-year-old would pay $6,400 to $7,000 more per year than would be paid for comparable coverage under traditional Medicare.

Mr. Ryan’s proposal would change Medicare from an entitlement program in which the government pays for a defined set of medical services into a “premium support” program in which the government would give beneficiaries money to help them buy private insurance. He contends that competition among health care plans and more judicious use of health care services by beneficiaries can help bring down the cost of health care and reduce the federal government’s burden.

But the C.B.O. says a private plan offering comparable benefits would be a lot more expensive than traditional Medicare because the private insurer would have higher administrative costs, would need to make a profit and, in an extrapolation of current trends, would pay hospitals, doctors and other providers substantially more than Medicare does. Beneficiaries would have to pay higher out-of-pocket costs or buy skimpier policies.

The Ryan plan has no chance of becoming law while the Democrats still control the Senate and the White House. But if health care becomes a defining issue in the 2012 elections — as it should — everyone under the age of 55 is on notice that Mr. Ryan’s plan would impose heavy costs on them when they reach age 65.

via The Republican Medicare Reshuffle – NYTimes.com.

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