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Thursday, September 06, 2007
Larry Elder :: Townhall.com Columnist
Memo to Actors: Dream On . . . Just Use Your Own Dime
by Larry Elder
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Will the Dems' health care Christmas Present to America be an improvement or detriment to our health care system?


"Don't you think -- because of that program -- society benefits?" an actor friend of mine asked me recently. She referred to a taxpayer-provided health care program that she "turned to" during one of the many "down periods" during her career.

"Who told you to go into acting?" I said. "Some careers -- whether an actor, a baseball player or a ski bum -- are high-risk and low-reward. Why should taxpayers support your career choice?"

"But didn't you get scholarships and grants to continue your education past high school?" she asked.

"Yes," I responded, "because, unfortunately, government got into the business of funding students to go to college. I would have preferred to have gone to a bank and applied for money."

"Why would it be better to go to a bank?"

"Well," I said, "taxpayers would not subsidize my college choice and major. Secondly, a lender would likely require a major in something that would lead to a job so that the lender gets repaid. We, therefore, would produce fewer art history, English lit and drama majors. Or students might pursue double majors, so that if the 'dream' career fails to materialize, there is a viable alternative."

I showed her a recent sympathetic article in a major newspaper about the lives and struggle of several New York actors. They, for the most part, happily pursued their high-risk careers while using wit and creativity to survive in a high-cost city. The actors' ages ranged from 34 to 67. In two cases, after the actors' plays ended, they resorted to unemployment compensation. This is actually a government program that pays out-of-work people. Government requires employers to pay an unemployment tax, an inefficient system that discourages people from looking for work. Employers, as with all taxes, pass along the expense by raising prices charged to their consumers. So in the end we, the taxpayer, pay.

In another case an actor obtained, at long last, a government-subsidized apartment for $700 a month. New York, which once had a rich and varied supply of apartments, began rent control during WWII. While this benefits those tenants lucky enough or connected enough to land an apartment, the policy reduces the available supply of apartments and prevents landlords from getting fair market value from their investment.

Question: Should taxpayers, through government programs and policies, support the choices of other people?

Take health care. On the presidential campaign trail, candidates on both sides of the aisle talk of the nation's "health care crisis" and offer varying schemes to use taxpayer money to "solve" the problem of those without health care insurance.

Never mind that of those born in America, 86 percent have health care. Or that many of the so-called 44 million without health care insurance include the estimated 11 to 20 million illegal aliens -- only 57 percent of non-citizens have health care insurance. Or that 14 million of those households earning more than $50,000 lack health care insurance, over 7 million of them in households earning more than $75,000. Or that in the 20 years preceding Medicare, a one-day stay in a hospital increased threefold, versus the first 20 years post-Medicare when the same one-day stay in a hospital increased eight times.

What about government welfare? Most high school students read Alexis de Tocqueville's "Democracy in America," the Frenchman's famous examination of what makes America tick. Few read, however, the book he wrote a few years later, called "Memoir on Pauperism."

Tocqueville noticed in the 1830s that despite its wealth, England seemed to have the greatest number of street beggars. Why? England enacted one of the world's first welfare programs. "I am deeply convinced," wrote Tocqueville, "that any permanent, regular administrative system whose aim will be to provide for the needs of the poor will breed more miseries than it can cure, will deprave the population that it wants to help and comfort, will in time reduce the rich to being no more than the tenant-farmers of the poor, will dry up the sources of savings, will stop the accumulation of capital, will retard the development of trade, will benumb human industry and activity, and will culminate by bringing about a violent revolution in the State, when the number of those who receive alms will have become as large as those who give it, and the indigent, no longer being able to take from the impoverished rich the means of providing for his needs, will find it easier to plunder them of all their property at one stroke than to ask for their help."

"So by all means," I told my actor friend, "pursue your dreams. Just do so with your eyes open -- and on your own dime."

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About The Author
Larry Elder is a syndicated radio talk show host and best-selling author. His latest book, "What's Race Got to Do with It?" is available now.
 
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HR 676 Universal Health Care For All
National Health Care is a no-brainer. It's time for action. Find out if your senator or congressman is backing National Health Care HR 676. And prepare to file and run against them if they don't get HR 676 passed pronto! See http://www.sickocure.org.

And don't worry that you might not be good enough. Any man or woman that supports National Health Care for all is a better person than any politician that doesn't support National Health Care will ever be. No matter how big the politicians name may be. Do it. NOW! http://www.sickocure.org

Make sure you know your filing date. And filing fee. This is bigger than personal fears any of you may have about your inadequacy. You can do this. You must do this. Run if you have to. Run in teams if you have to. Just make sure you take out your representative if they don't back quick passage of HR 676. Now!

It's not ok for children, babies, and other Americans to die for lack of affordable health care. It's a disgrace.

HR 676 Universal Health Care For All
You are all in this together. Whether you have the finest full coverage health insurance. Or no insurance at all. Whether you are the President of The United States, senator, or congressman. Or a premature infant in some inner city icu struggling for your life. Your medical care has been severely compromised by greed, and the profit motive. And in medicine, compromised care means injury, disability, and DEATH. All because the very core of American Medical health care has been compromised through the medical practice guidelines.

Guidelines that should be based purely on unbiased, open, transparent medical science. And open, unbiased, transparent, well documented, scholarly, scientific, clinical experience. All focused solely on the very best interest of individual patients. And tempered with the ancient wisdom, and warnings of Hippocrates, "To Above All. Do No Harm". Only non-profit, tax supported, single payer, National Health Insurance can fix this disgrace.

The moment of truth has arrived. Save your-self. And save America along with your-self. Act as if your life, and the life of your loved ones depends on it. BECAUSE IT DOES!!

GOD BLESS AMERICA.

YOU CAN DO THIS AMERICA!

Love...

Fine
Have universal coverage. But I don't want to pay for obese people who eat all day and then increase their own risk for heart disease and diabetes, so force them to go to fat camps and work out. No smoking. No fast food. No carbs. No fun. I think it's funny that the same liberals who get mad at the government invading our privacy are the ones who want universal health care and the resulting personal invasions that it will no doubt entail. Just ask John Edwards. Get his plan and you HAVE to go to the doctor, which in a sense is only fair -- if you want us to cover you, then you should get yearly check-ups. But where does the monitoring end?

The biggest threat to our health care system is people with no self control. But if we could force people to have self control, we wouldn't be in this mess to begin with, would we?

jacksmith01
Many reasonable Americans do not support your lofty ambition to make National Health Care a law in the United States. One of the reasons is: we do not want the government making decisions about our health care.

You obviously have not read anything about the serious problems people face in the countries which have this system. I suggest you research the present Canadian system, for one.

Many of us who pay the regular premiums for our health insurance choose to do that over something else we'd like to have.

You might want to start a "Health Insurance Charity". Those who believe that everyone should be insured can join and contribute.

Don't forget to put John Edwards, Hillary Clinton, and all the other politicians who want government-paid health insurance on you list of contacts. You should get big donations from that crowd! Don't skip the Hollywood liberals...big bucks there, too.

In other words, you want it, you pay for it.
Don't take it out of MY pocket. I have the moral right to provide the means to support myself for as long as I need it.

If I never need Medicaid, for instance, I won't be taking money from taxpayers for that. Do you see what I mean?

BTW, do some homework on why many without health care do not have it. Then you will understand why hardworking people object to carrying THEIR burdens, also.

jacksmith don't know jack....
Attempting to force your fellow citizens, against their will, to pay your medical expenses is the opposite of virtuous.

Freedom and liberty are the ideals that make this a great nation. Every new government program erodes our freedoms, and destroys the brilliant legacy created by our founders.

We are allowing what should be our birthright as Americans to be stolen.

I for one have had about enough of massah
government on my back and in my pocket. I will soon reach the point where I can live off my savings, and work will be a choice. If we continue down this road to socialism, massah will have to find another slave to take my place. Instead of working to create additional wealth, I will instead atempt to soak every dollar I can from government at all levels -- maybe start a non-profit and apply for grants, take the "free" medical care, etc -- as my own twisted form of resistance and protest.

My thanks to Larry, John Stossel, Walter Williams, and the other purveyors of honesty and truth at Townhall. Even though I fear too few of our fellow Americans are listening.

jack in the box
In the 40 years we've had medicare, & medicaid, the feds have managed to bankrupt the system. Seniors complain so loud that George W had to have some kind of prescription drug plan that will further lead us to ruin. And the reason health care is escalating so fast is that why should we worry if it's covered under insurance?? Jack, do you want the same people that were in charge of Katrina aid running your health care?? Do you have some sort of a death wish?

Gov't health care
I used to have "free health care" yep The VA. I am disabled due to a cardiac condition, Yet the highest level of care I received in NH was a nurse practitioner. Was not referred to even an internist never mind a cardiologist. I have recently purchase a health ins policy, which I pay for. Just in time as I had emergency quadruple by-pass

Did you know that no new drugs have been added to the VA formulary since 2000.Also many drugs are cheaper at WAl-Mart even without Ins than at the VA
Nope give me private practice

Good posts
On this article (and a great article at that) with the two notable exceptions. Holy Smokes!

The thing that kills me about this "universal healthcare" non sense is that the people that support it can never answer two simple questions.

1) What has gov't EVER done more efficiently and more effectively than the private sector (and don't give me the fire dept and police dept please. they are part of our larger defense system which actually is the responsibility of gov't)? Just one thing?

2) Let's assume that we take all of the profit out of our healthcare system. Who, in the wide world of sports is going to do the R&D that has led to nearly all of the greatest advancements in medicine?

No one wants to answer number two because the answer is more federally funded programs that need more money which means more taxes.

Doesn't anyone get it. IT IS ABOUT CONTROL! The gov't CANNOT live my life better than I can!

elong
I'm with you. Well said - thanks

Don't come crying Jacksmith when...
-all the people smart enough to become doctors find something more profitable to do
-government starts making medical decisions for you (ala John Edwards "requiring" yearly dr. visits, that's just the beginning)
-you can't have elective surgery, period
-you can't get an appt. when you're sick
-the US drug industry loses interest in creating new cures for disease (since we're the leaders in that arena, good luck)
-despite the rise in mortality rates, the WHO rates our health system higher because of more universal access (who cares if more people are dying when everone has coverage?)

Your idealism is only surpassed by your naiveté.

Just on Your own Dime
I think it's time to have a march on Washington of our own. Maybe on Tax Free Day or Free From Government Day. All take off work and take over the city. The docile slaves need to take to the streets. "I am mad as hell and I won't take it any more!"

Health care? No way! War? Bring it on!
I love the "conservative" argument that "we don't want gov't in control of our health care" but you don't mind spending billions a month on a War of Choice. I thought the gov't couldn't do anything right (but don't you love your country?)? Although you claim to not trust gov't with your money, you have no problem giving the gov't money hand over fist to support war. Do you know how many nuclear weapons we have? Do you know how big the gov't has become under Bush? Get your head out of the sand.

The Great Patriot, another neophyte
Actually, if you were to read the constitution, executing wars and upholding the military is one of the few constitutionally mandated expenditures allowed. I'm against all big government that goes beyond the bounds laid out by the constitution (bush or no bush). Making war does not. See how that works? No hypocrisy involved. Now find where it says that everyone gets health insurance. BTW - no one in this country is denied emergency health care, so what is the issue exactly? You can't sleep until everyone can go to the doctor for free for anything, anytime?

The biggest problem is
that almost, if not more than, half of US citizens pay no income taxes and have no incentive to lose their lunch ticket from the government (read us who work and pay taxes). I think that if you do not pay income taxes, you should have no vote for any government level. They work for those that pay them, at least they should. But in reality, as was once said much better than I can, once a populace realizes that it can vote itself entitlements, the society is doomed!

Socialized Medicine
In spite of all the "Liberal/Progressive" hand-wringing and condescension, they aren't even honest enough to tell you that the bill Congress is considering rivals the Shamnesty debacle. This Shrillery-Care trojan provides free medical for "children" up to age 25 in households with $75,000 incomes, even if they're here illegally!

The first post here by moonbat jacksmith01 is exactly right, call your Congressperson NOW and tell them to vote this atrocity DOWN!!

Health care is not a right

Are we going to enslave doctors and nurses to provide everyone health care?

Government involvement has created this health care mess. How could anyone believe that a tax payer funded government take over will ever work?

Health care is a private matter between a patient and their doctor. Everyone else mind your own business.

Free Health Care is NOT Free
When people like Jack Smith talk about "free" health care they mean "I don't want to see the bill."

When they talk about "affordable" this and that, they mean "I want it to cost what I feel like paying, not what it costs to produce and provide it!"

And when they talk about Work Live Balance, they mean "I want to be paid by my employer to do whatever I want to do, and if I have time to do any work in between, I will."

It is wonderful to want Goodies without having to pay for them. That is the Joy of Santa Claus. But most of us have found out by the time we are your age that there is no Santa Claus. Santa Claus is other people. Those are the people who pay.

Dean
Thank you.

Why do folks on the left consistently point out the spending on the war and the fact that the gov't has gotten bigger during the Bush Admin?

Doesn't anyone understand that many (if not most) conservatives are pretty ticked off about the size of gov't and out of control spending of the last 6 years. I don't care who is in office....if they're wasting money, they're wasting money. Period.

And Dean, you're right. Defense and the execution of war are powers granted to the feds under the constitution.

Last time I looked federal funding of retirement, healtcare, the arts, museums, halls of fame, bus stops, farm subsidies, et al were not.

Health Care Crisis Part 1
For the most part I am a free market capitalist, and a social conservative, but I have to say that I think many conservative commentators just are out of the loop about the rising cost of health care.

I as a Pastor don't make much money, and I in fact get money back on my income taxes (because of my 4 kids). But as a Pastor I don't have anyone company paying for my health insurance. The problem is that health care cost are outrageous for anyone paying cash. At the cheap place in my town (there are 2 options) it costs $70 just to see a physician for about 10 minutes. With any kind of testing done the cost can easily run to several hundred dollars in under an hours worth of time.

For our last child the total listed price (insurance covered it at this time) was over $8000, and my wife had a normal birth with the doctor in the room for less them 30 minutes. The hospital stay was less then 2 days.

Why are health care cost going up 10-14% a year? For people in my pay range ($30-50 thousand/ year), which includes most of my church, health care has become the second or largest piece of the budget after our home, and its catching up to the home. And I have a relatively healthy family, and we never go to the doctor for little things (my wife is an RN so she knows better).

Stop the moonbats
Great point about the coverage of "children."

When is the left going to get the fact that Hillary and the rest of the radical left have no interest in the welfare of the public.

they want to have complete control of their constituents lives. Get 'em on the gov't "pay roll" and the gov't can force them to do whatever the gov't deems appropriate.

Heath Care Crisis Part 2
I hated to do it, but I applied for and got on to a state insurance plan for my kids. One of my sons has asthma and some kidney issues, and the costs of the specialist alone, not to mention the testing, would have bankrupted us. We would not have a house, and we would not be helping other people become productive (one of my main jobs as a pastor is to help other people turn their lives around, and I have seen a number of people turn from drugs and become working productive members of society.)

I don't know what is driving the costs up, and I have yet to see anywhere (even here on townhall where I see some very astute economic comments) a real breakdown about what is driving up the costs. People like me are almost being forced to run for the cover of government sponsored health care, because I cannot afford to pay cash or pay $800+/month for insurance that still has a $500 deductible for each person and an 80/20 payment after the deductible is met.

Honestly, I would be paying over a quarter of my income on health care, which I don't abuse, and 5 of the 6 members of my family almost never use!

People like me are in crisis, and I know many conservative blue collar workers who are in the same fix because their job insurance cost has been going up while benefits are decreasing.

Any answers or place I can go for answers? Anybody have real solutions? Is the market really active when I pay $70 for a 10 minute visit which often times is only necessary to get the prescription that I already know I need?

Freebies
In 1980 my first hitch in the Air Force was up. I looked at the cost of health care insurance and decided to re-enlist for the sake of my family. I did not always enjoy the rigors of military life, family separations, strict discipline, threats to life and limb, etc.
I served my 20 years and EARNED my so called "right" to medical care. Now the political hucksters want to give away that privledge [at my expense] to illegals,idiots and slackers....

Health Care Crisis Part 3
Lastly, I don't want the government to run our health care, but right now I don't think that health care providing are really responding to the market.

Yes, I think we need a Walmart of health care that can drive down the cost of things that are not really that expensive.

When my wife had our last child, part of the $8000 was $5 for the 2 tylenol tablets. For about $8 I buy 500 tylenol at a time at Sam's Club.

I am convinced that government has the opportunity to get involved in our lives or in business when some behaves in a manner that the general public sees as obviously wrong. To me $5 dollar tylenol is obviously wrong. I realize that the insurance company probably only paid 2.50 for the 2 tablets, but that is still way too much.

Where is the money going? How can the system be streamlined without giving it to the government? How can I as a citizen encourage low cost health care?

I don't have an answer either, because I am not really sure what is causing the problem. I would appreciate any insight from people more knowledgeable.

Health Care Crises Parts 1-3
Sam, your posts seem reasonable so I want to respond to a couple of your points non-politically. First, just as it states in this column, you chose your profession. You also had something to say about the number of children in your family. Yes, the ways medical facilities have chosen to recoup their expenses (charging $5.00 for two Tylenol because they have to serve as a free primary care facility for illegal aliens and society's dregs) makes a Canadian/European style nanny care seem attractive, but their "free" drugs and checkups aren't worth much when you may have to wait eight months for an MRI.

Do you know any Doctors? I am acquainted with a few and they all say they would have chosen a different profession if they knew what they would face practicing medicine. And thanks to opportunists like John Edwards, just try to find an OB-GYN in an ever growing number of states.

Like many things here the US system is not perfect, but it sure beats what the Libs want to foist on us instead.

the great patriot
Dean is correct: your government is ultimately responsible for two things; defense, and infrastructure. And yes, defense means fighting wars, even if they are wars "most" Americans dont agree with. Because you see, this is a representative republic, not a direct democracy. If it were a direct democracy, we would simply vote as a nation on every single issue. Oh and for the record, only about a third of American Colonists supported our revolt from England under King George, proving that the majority is not always right.

As for universal health care, why stop there? Why not universal food, clothing, and shelter? Are these not as important as medical care? You now begin to see the slippery slope you are on. It is not the responsibility for Americans to supply your every need. I know that sounds cruel, but people have their own problems to deal with. Why should I force a guy trying to support his family, to help subsidize my chemotherapy? Oh and a little tip: the government does not care about your health...They care about power and money, regardless of what party is running the show.

bob
BINGO!

I hate it when people throw around the term democracy. We've never lived in a democracy. The founders avoided a democracy in order to avoid mob rule which is, in essence, what a democracy is.

Great post!

Stop the moonbats, Sam Allen
Stop, you did a very nice job of answering Sam. Sam, to you I would say that yes there is a problem with our healthcare system, but it is not from a lack of government interference, it is caused by too much interference already. The doctor and the patient don't have very much say in how the patient is treated, that is decided by the insurance accountants because the government got their greedy mitts into the whole deal and codified that employers are to provide healthcare for their employees. Then the insurance companies saw the fat loophole in that system and exploited it just like any company is supposed to do.

Our Federal government is supposed to be limited by the Constitution as to what it can do, but we have allowed it to usurp more and more and it has become a behemoth that feeds on itself. Most of what government does is not done in either hall of congress or the Presidency, it is done by career bureaucrats that are rewarded for mediocrity or failure and punished for efficiency and productivity. Just look at the bureau of Labor Relations. They are finally holding unions accountable for illegal practices and corruption to rival the mafia. So what does congress want to do, cut their budget and emasculate them! All at the bidding of their money providers, the unions!

Liberal Nonsense - But I repeat myself!
Elder scores a direct hit on The Cradle of Communism, Higher Education. It is telling that the folks most in favor of Communism are those who spend most of their day in a Communal Setting i.e. students.

The Health Care Scare is a SHAM! When 85% of the population has something, it is OBVIOUSLY WIDELY AVAILABLE and there is no problem for the government to address!

But, that is The Liberal View of America. “We The People” are TOO STUPID to take care of ourselves and we need The Government to take care of us! I personally am insulted when A Moron like Hitlery Clinton implies I am stupid. This from a woman whose husband was being serviced right under her nose and she claims she never knew about it! All I can say about that is must be hard to hear when another woman had her legs wrapped around Hitlery’s head.

Health Care Insurance
As the person responsible for securing insurance policies for employees of a small business, I have learned more about the system than I want to.

First, insurance companies are not allowed to combine policy holders across the nation. They must compete in every state. Each state has different requirements and minimum levels of coverage for businesses and for private parties. Policy pricing cannot be averaged. The paperwork is a nightmare. And prices rise.

Last year I advised that our company move to high-deductible policy combined with a health savings account (HSA). This policy allows us and our employees to not only pay our premiums with before-tax earnings, but also to fund a savings account with before-tax earnings. When money from this account is spent on health care no taxes are assigned to the funds. Each employees liability for a year cannot exceed $2,000 - or if his family is included - $4,000. Premiums for the high deductible plan cost less. Also, trips to the doctor for yearly physicals are covered. You are allowed as an individual to save $2,850 (tax-free) every year (as a family the amount rises to $5,650). The savings account is portable, meaning if you leave your job or discontinue the high deductible plan, the money you saved is still yours to spend on health care, tax free. You many invest a portion of your savings account in approved mutual funds or money markets. When you turn 65, the funds can be used for anything, though if not used for health care, it will be taxed at your regular rate.
This plan allows you some control over the money you use for health-care. It encourages you to -live a healthy life, do some discernment as to how often you go to the doctor, save for the future, and protect you from disaster.

Jan writes:
Jan,

I am interested by you post. Was there any aditional out of pocket cost to the employee, that is, did it cost the employee any more out of his paycheck to get the max contribution to the HSA account?

This looks like a pretty good deal to me, but I would still be nervous about going to such an arangement.

I have small children and it seems that we are going to the doctor each month for one of them, and since my wife is an RN we always have a real problem.

Also, what sort of drug coverage does your plan provide?

radical solution?
(1) Repeal laws that require emergency rooms see anyone who walks in. Health care is not a right. Laws that require I treat someone who will not pay me are a form of slavery. Most Docs would treat people without money, but of their own free will.

(2) Structure taxes such that high deductable insurance is preferred, and make Health Care Accounts the norm. Costs go up because no one worries about spending other people's money. No-deductable and low-deductable should be taxed as income. HCAs should be tax-exempt, kind of like a Roth IRA.

(3) Eliminate Medicare. To make the transition to a free market economy, I support some subsidy of an HCA policy for elderly. Again, people must spend their own money.

I will probably be shot some day for suggesting this, I predict, right after Comrade Hillary is elected President-for-Life.

Sam Allen
I won't offer my version of what I believe is the problem, but I will say that regardless of the root cause, everyone should be responsible for themselves. I am not a calous person and I believe there are people that truly need our help, but I don't think you are one of them, nor do I think that 75% of the people receiving government benefits are either. That in itself is part of the problem!

The bottom line is that not I, nor anyone else, should have to subsidize you for your career choice. That is the point that Larry Elder is trying to make in this article.

Any intelligent person should understand that when government creates a subsidy, somebody, somewhere is picking up the tab. So the reality of it all is that in addition to their struggle to meet their own needs, they are now required to help you with yours, simply because they made a better career choice.

So explain to me, and to your own conscience, how this is fair? Using me as an example, you have no clue how long I worked to get where I am, nor do you know how many hours I toiled or the sacrifices that I made to achieve my meager level of success? So no matter how noble your chosen profession, you cannot justify taking the fruit of one persons labor for the benefit of another.

Another consideration, since we're talking about choice, if you can't afford a family, don't have a family. You made a choice, now you provide for them!

Here's an idea! How about a second job? I had a wife and two kids following my discharge from the military, so I worked two jobs, so my wife could stay at home with the kids. Does that mean that someone else should have subsidized me so that I could have spent more time at home? Absolutley not!

It's all about sacrifice and responsbility. You wanted to serve the Lord, wonderful! You wanted a family, great! Now make the sacrifice neccessary without expecting someone else to pick up the slack!

RE Sam Allan and Healthcare, part A
Sam voices legitimate concerns. My insurance company was charged about $8 for two Tylenol at the birth of my first child. (In 1984) At the second birth, I took my own bottle of Tylenol along and took them myself without consulting my doctor. No charge!! But I figured out that what your're really paying them for is not the pills per se but the expertise to know when you need them and their assumption of the risk if you actually needed something else. If they're responsible, they have to protect themselves by paying high malpractice insurance premiums. I think the best way to reduce health care costs is to allow the consumer of health care to assume the risk. If only the gov't would allow us to work out a deal: I agree not to sue; the doctor or lab can provide me with the medicine or proceedure I request; and the results are my responsibility.

We could have local practitioners (not slaves of the AMA) who may make their living doing a basic blood draw or wound stitching but they wouldn't be reponsible for our entire health -- each person would be responsible for his or her own health. The local practitioner could charge what the market would bear and there could be competition. But there wouldn't be malpractice suits or malpractice insurance so prices would be lower. Yes, there still would be some malpractice...there would be bad practioners just like there are bad auto mechanics, but the marketplace should weed them out. Sure some people would get less than optimal care, but at least more people would be able to get SOME care. As it is now, those who can't afford care just stay home and treat themselves anyway. At least let someone in the neighborhood who is practiced make a living at helping us care for ourselves.

RE Sam Allen and Healthcare, part B
continued from earlier post...

To require that everyone who provides medical care meet the same high standards of education and licensing is like requiring that everyone can only purchase a Mercedes Benz (or Jaguar or BMW, etc) because they are the best and no one should have to put up with less than the best. Let us have the medical equivalent to, say, a Chevy Cobalt, so that those of us who can only afford a Cobalt can at least still get something.

/between the lines
You are all in this together.
*Power to the collective
Whether you have the finest full coverage health insurance. Or no insurance at all. Whether you are the President of The United States, senator, or congressman. Or a premature infant in some inner city icu struggling for your life.
*No more hierarchy. Equal outcomes for all, no matter the effort put forth.
Your medical care has been severely compromised by greed, and the profit motive.
*Capitalism will fall someday.
And in medicine, compromised care means injury, disability, and DEATH.
*Be afraid so we can get control of you.
All because the very core of American Medical health care has been compromised through the medical practice guidelines.
*There isn't enough control by the government.

Guidelines that should be based purely on unbiased, open, transparent medical science.
*As long as the rationing lasts and if you're worth the effort that has to be rationed.
And open, unbiased, transparent, well documented, scholarly, scientific, clinical experience.
*By "my experts."
All focused solely on the very best interest of individual patients.
*To be determined by me, not you.
And tempered with the ancient wisdom, and warnings of Hippocrates, "To Above All. Do No Harm".
*Not like now, you who harm through capitalism.
Only non-profit, tax supported, single payer, National Health Insurance can fix this disgrace.
*That I am not in control of

The moment of truth has arrived. Save your-self.
*Let me save your-self from your-self.
And save America along with your-self.
*save it for government control.
Act as if your life, and the life of your loved ones depends on it. BECAUSE IT DOES!!
*And if given a chance I will prove to you that disagreeing with me is deadly.

"GOD BLESS" AMERICA.

YOU CAN DO THIS AMERICA!

Love... Che Guevara

Good Advice for "Artists"
I praise Larry Elder for this piece about struggling "artists" who make the decision to pursue their dream yet depend on the taxpayers to pay for their every need. I once pursued an acting career in the late 90's until 2001. I met many people there who were liberal whiners who enjoyed complaining about how the rich take from the poor and they're all for profit... profit... profit. Yet these same people didn't hesitate to take from the taxpayers because they were too lazy or stubborn to get a real job while pursuing their acting career.

All in all, I think most actors in Hollywood are Democrats because they need to justify to others and to themselves on why they use the little money they have on headshots and acting classes and want that "free" time to go on auditions instead of working to pay the bills, the rent and other personal responsibilities.

I got tired of the drama queens and whiners in Hollyweird and left it. I still enjoy acting, but I don't want it as a career. If I get lucky one day to do something, that'd be great but I prefer to actually work for a living and support my three children.

As Mr. Elder so clearingly put it, if you're going to pursue the big dream, do it on your own dime.

skiddles
Our company pays 90% of the insurance policy cost for the employee and 25% of the additional family cost. In addition, the company contributes $50.00 per month to each employees HSA account. The employee can contribute tax free earnings to reach his limit at $2,850 for an individual. This money is deducted from his paycheck (before taxes) and sent into the bank that handles the account.
Prescription drugs are purchased by the individual at the rate the insurance policy provides. You get the discounted rate and it applies to your yearly deductible. You also get the discounted rate the insurance company has bargained for when going to a doctor. This is how it works. You receive an insurance card that reads "No Copay". The doctor submits his charges to the insurance company, who then sends to you a notice which states what the doctor charges and what their (your) cost is. As you probably know, it is quite a difference. Then you can pay by a check issued from your HSA account or by a debit card (also issued from the bank) when you receive the doctor's statement.

As far as having a lot of little kids - you should check into the cost of a high deductible plan. The rate is generally substantially cheaper than a comparable PPO or HMO plan. Look at what your present insurance has cost you plus what you have paid for your share of medical costs in the past year. Keep in mind that your exposure will be set at $4,000 per year (for example) no matter what happens with the high deductible,HSA plan. That is definitely not true with a conventional plan. Also, you have the ability to save and grow money to meet this deductible with tax free funds.

skiddles
Our company does not charge anything to set this plan up. The bank does have some fees for management of the HSA, but they are fairly minimal and there are ways to avoid most of them.

jack smith
Any politician voting for Universal Health Care will automatically NOT have my vote. Do your homework and use some common sense.

"Free" Health care
Why should my son, father of two small sons, pay for anyone's health care but his own family's? He is self-employed, as is my husband--we all farm--so has always paid his own insurance costs and his own health costs that aren't covered by insurance. He can't even deduct it from his income tax while most other Americans have health insurance tax free. He also does not qualify for lower insurance costs that large companies are offered by insurance company. He gets discouraged. It seems like everything he pays for-- fuel, fertilizer, machinery, taxes-- has someone elses' health care built into what it costs him. I remind him that this is why we work. We work to provide the things our families need and with luck, some of the things we want. But we do not look kindly on people who expect us to pick up the tab for the things they need or want.

jacksmith01: It's NOT "Universal" Health

Care. It's "SOCIALIZED" Health Care... so let's call it what it IS!!!

The United States of America is a captialist country, NOT a SOCIALIST counrty, and anyone with two working brain cells doesn't want us to move toward socialism!

Got that?

And, just because our health care system could use some "fixing" it doesn't mean that the government needs to be in charge. Not by a long shot!!!!

And, here's my question.

Why is it that the liberal/socialists are up in arms about the very notion of a National ID Card, required Voter Card, and the Patriot Act.

Yet these SAME liberal/socialists are so ready and willing for the GOVERNMENT to have access to, and control over, our most personal, private issues... our health and health care......

Am I the only one who sees a disconnect, and total lack of logic???





No answers yet
Yes, I have chosen my profession, but I did not make private health insurance go up by over 10% for the last 10 years. When I chose my profession, I could pay for decent health coverage, now I am struggling to do so (my wife and I do carry a major medical policy with an HSA).

Furthermore, my wife, kids, and I live very healthy lifestyles, and as stated earlier, do not go to the doctor accept when absolutely necessary.

Also, in my profession, I have helped several families who were completely government dependent become almost completely independent, saving everyone else 10s of thousands of dollars.

From what some of you suggested, the only solution to my problem, along with many other hard working people is to get a real job? Well, at my level of schooling (which by the way was almost entirely paid for privately), I could get a much better job. Heck, the counseling that I do alone would make me $20,000/ year more if I charged.

That still would not help the blue collar folk who I minister to, who are being priced out of the market. If you really wanted to set up a haves and have not when it comes to basic health care, then I am afraid you are going to lose many solidly conservative hard working folk to someone who will offer them a solution even if that solution ultimately won't work very well.

Sam Allen
I feel for you. I really do. My best friend is a pastor's kid; their family had to home school because the public school performance was abysmal, but they could not afford private school.

But private school is an excellent example of why government should be removed COMPLETELY from the health care arena. Many people do not know that private school, apart from being more efficient than public school with consistently higher performance, is actually cheaper than public school per student - averaging around $2,000 per year per student. Public schools, on the other hand, average about $8,000 per year per student. But, rather than having to pay it all out in one lump sum, $8,000 per child per year for every parent in America, instead the cost is spread out, so that even those without children take the hit - and those with children who would prefer private school cannot afford to send their children there after taxes.

The same principle applies to health care. Millions of uninsured and impoverished people flood ERs and clinics around the country, getting medical care they are "entitled" to and never expect to pay for, yet the government mandates that emergency room doctors treat them. As a result, many treat emergency rooms like their doctors' office, going there for colds, allergies and rashes, and everyone else picks up the tab in the form of increased cost. Spreading the cost around does not make it "cheaper;" it simply means that fewer people can afford their own health care choices.

As the bumper sticker says, "If you think health care is expensive now, just wait until it's free."

One more thing....
... well, two, actually.

You make the case that, if you went into private practice, you would no longer be able to minster to those who can only afford counsel from a reverend and not a licensed practitioner. Yet there are many minsters who offer both services, or offer their services on a sliding payment scale. Either way you work it, if you have the ability to make a living off your education that will provide for all your health care needs, there's no reason not to pursue it. All it will mean is that, rather than depending on others' labor, you and your family can depend on your own. (Unless, of course, you're just a liberal trying to make up a sob story to make us evil conservatives see the error of our economically-sound and -proven ways.)

Secondly, despite what many politicians say, there is no health "care" crisis in the US. If anything, there is a health insurance crisis in the US - one which would be most quickly cured by getting the government out of the insurance business.

If you want government health care join the military - trust me, after three years in the service the LAST thing I want is for all Americans to have to get the same standard of treatment we have to deal with.

My two cents
Escalating costs factors to consider:
Abolish Most Government Regulations & Red Tape
Phase out Medicare/Medicaid & all permutations of same
Everybody picls up the tab for those who DON'T pay (whether they can or not)
Illegals abuse our health care providers (hospitals are closing because they are "bleeding $$" and unable to recoup losses)
Insurance reform (Get Government out of it! Free market-across state lines! Catastrophic coverage ONLY)
TORT reform so that we have lawyers and those who press frivolous suits pay court costs.

Return to a self-sufficient society instead of one that believes "government" which is really only your fellow citizens, owes you an 'easy' life, a college education, free medical, unemployment insurance, a chicken in every pot and anything else our frugal and oh-so altruistic representatives (use the term lightly) decide.

I think that covers it, but it is late and I'm tired.

Mr Allen -part 1
I've been in the Hospital business since 1992, most of that as a clerk for the business office and on a med-surg floor. Recently I went back to school and got my RN. During that tenure I did a one month study of the payor status of patients in a Rural Texas hospital. The ER census for that month was a little over 1000. Of that 1000, approximately 400 were self pay, and of those maybe 100 made some sort of payment upon getting treatment while they rest said "bill me". It wasn't like I was putting the hard sell on these people, the order of the day was to try and collect anything we could, because that might be the only thing we ended up getting. So I would ask, "Can you pay anything, $20? 10? 5?" Very few paid anything to be seen, and if they had to do any waiting at all, were more than willing to complain. Fewer still actually paid the $100 ER fee up front. Here in Texas, it is state law that everyone be evaluated by a physician, and receive stabilizing treatment regardless of the ability to pay. This was intended for emergencies, but doctors fearing frivolous lawsuits treat everything that walks in. Got a headache? Why go to Walmart and buy Tylenol or Motrin? Like narcotics? Then say you have either back pain or migraines.


Mr. Allen part 2
So of every 10 people that come to the ER, about 6 have some form of insurance (including Medicare and Medicaid). That leaves 3 that pay nothing and a 4th that pays a portion.

And the government mandates how much that medicare will reimburse for services, and I'm here to tell you, that medicare does not pay what private insurance pays. They pay a variable rate from city to city and can run from 75-85% of what the hospital actually charges for said services. And medicare easily made up half of those with some form of insurance seen in the hospital. So that's about 3 in 10. Although some have a secondary insurance.

So you have 3-5 that pay full price, 1-3 that pay 75-85%, 3 that pay nothing and 1 that pays something but usually less than 100%.

Now imagine that in any other business. If at best 50% paid full price for some service and the other half paid less than that. Do you imagine that costs would rise?
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