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	<title>Comments on: Is Healthcare Broken, or Does it Just need A Tune-up?</title>
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	<link>http://www.thepolight.org/?p=519</link>
	<description>News for people who don&#039;t watch Fox News Network</description>
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		<title>By: Badtux</title>
		<link>http://www.thepolight.org/?p=519&#038;cpage=1#comment-106</link>
		<dc:creator>Badtux</dc:creator>
		<pubDate>Mon, 27 Jul 2009 21:42:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.thepolight.org/?p=519#comment-106</guid>
		<description>However, research shows that obesity &lt;a href=&quot;http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.0050029&quot; target=&quot;_blank&quot;&gt;does not increase overall health care spending&lt;/a&gt; because while the obese use more healthcare while alive, they die *much* sooner -- the average obese person is dead by age 70, while the average non-obese person lives to 85 or so. The deal is that those last 15 years of life that the obese person doesn&#039;t live (because he/she is dead) are *very* expensive years, much more expensive than the extra healthcare the obese person used during his/her life. In short, by dying quicker, the obese save us money. (Same applies to &lt;a href=&quot;http://content.nejm.org/cgi/content/full/337/15/1052&quot; target=&quot;_blank&quot;&gt;smokers&lt;/a&gt;, BTW -- we have research on that too).  
 
We should of course fight obesity (and smoking), but because it&#039;s good for the health of individuals and the health of the nation as a whole, not because it saves money long-term. The long-term research says eliminating obesity (or smoking) simply doesn&#039;t give any long-term cost savings. 
 </description>
		<content:encoded><![CDATA[<p>However, research shows that obesity <a href="http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.0050029" target="_blank">does not increase overall health care spending</a> because while the obese use more healthcare while alive, they die *much* sooner &#8212; the average obese person is dead by age 70, while the average non-obese person lives to 85 or so. The deal is that those last 15 years of life that the obese person doesn&#039;t live (because he/she is dead) are *very* expensive years, much more expensive than the extra healthcare the obese person used during his/her life. In short, by dying quicker, the obese save us money. (Same applies to <a href="http://content.nejm.org/cgi/content/full/337/15/1052" target="_blank">smokers</a>, BTW &#8212; we have research on that too).  </p>
<p>We should of course fight obesity (and smoking), but because it&#039;s good for the health of individuals and the health of the nation as a whole, not because it saves money long-term. The long-term research says eliminating obesity (or smoking) simply doesn&#039;t give any long-term cost savings.</p>
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		<title>By: Michael</title>
		<link>http://www.thepolight.org/?p=519&#038;cpage=1#comment-105</link>
		<dc:creator>Michael</dc:creator>
		<pubDate>Mon, 27 Jul 2009 21:31:38 +0000</pubDate>
		<guid isPermaLink="false">http://www.thepolight.org/?p=519#comment-105</guid>
		<description>Here&#039;s my point exactly from TODAY &lt;a href=&quot;http://www.reuters.com/article/domesticNews/idUSTRE56Q36020090727&quot; target=&quot;_blank&quot;&gt;http://www.reuters.com/article/domesticNews/idUST...&lt;/a&gt; </description>
		<content:encoded><![CDATA[<p>Here&#039;s my point exactly from TODAY <a href="http://www.reuters.com/article/domesticNews/idUSTRE56Q36020090727" target="_blank"></a><a href="http://www.reuters.com/article/domesticNews/idUST.." rel="nofollow">http://www.reuters.com/article/domesticNews/idUST..</a>.</p>
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		<title>By: Michael</title>
		<link>http://www.thepolight.org/?p=519&#038;cpage=1#comment-104</link>
		<dc:creator>Michael</dc:creator>
		<pubDate>Mon, 27 Jul 2009 13:46:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.thepolight.org/?p=519#comment-104</guid>
		<description>With all due respect. It&#039;s our own responsibility to take care of ourselves first before healthcare. If you&#039;re overweight as you are, expect more health issues to come and don&#039;t blame healthcare for the care you receive. I&#039;m a cancer survivor myself and i take top care of myself, working out and doing preventative care including nutrition, chiro,  massage and meditation. </description>
		<content:encoded><![CDATA[<p>With all due respect. It&#039;s our own responsibility to take care of ourselves first before healthcare. If you&#039;re overweight as you are, expect more health issues to come and don&#039;t blame healthcare for the care you receive. I&#039;m a cancer survivor myself and i take top care of myself, working out and doing preventative care including nutrition, chiro,  massage and meditation.</p>
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		<title>By: Sam J. West</title>
		<link>http://www.thepolight.org/?p=519&#038;cpage=1#comment-103</link>
		<dc:creator>Sam J. West</dc:creator>
		<pubDate>Fri, 24 Jul 2009 03:29:11 +0000</pubDate>
		<guid isPermaLink="false">http://www.thepolight.org/?p=519#comment-103</guid>
		<description>&quot;None of the plans being kicked around at the moment could really be described as &quot;rebuilding from the ground up&quot;, most of them are tweaks aimed at covering the uninsured. &quot; 
 
This is a very uninformed comment. Please go read the bill at &lt;a href=&quot;http://edlabor.house.gov/documents/111/pdf/publications/AAHCA-BillText-071409.pdf&quot; target=&quot;_blank&quot;&gt;http://edlabor.house.gov/documents/111/pdf/public...&lt;/a&gt; 
 
In those 1018 pages, it doesn&#039;t take long to come across pg16 which defines the grandfathering into the system of existing private insurance. It states very clearly that NO NEW private insurance policies are permitted after the effective date of this bill. It then says after 5 years, all private plans must be converted into Exchange conforming plans. 
 
Here&#039;s a quick table from the bill that outlines the effective &quot;tax&quot; imposed on small businesses if they don&#039;t offer a public plan. 
 
If the annual payroll of such employer for                  The applicable 
the preceding calendar year:                                        percentage is: 
                                                                                         
Does not exceed $250,000 .....................................      0 percent 
Exceeds $250,000, but does not exceed $300,000  2 percent 
Exceeds $300,000, but does not exceed $350,000  4 percent 
Exceeds $350,000, but does not exceed $400,000  6 percent 
 
On pg 167, the Amendments to the IRS code requiring TAXING individuals not participating in a public plan 2.5% of Adjusted Gross Income. 
 
But of course, on pg170 it exempts any non-resident alien from having to pay such a tax. 
 
On pg203,204 it squirms out of that nasty commitment to not raise taxes on everyone under 250k by stating; 
 
&quot;The amendment made by subsection (a) shall not be treated as a change in a rate of tax for purposes of section 15 of the Internal Revenue Code of 1986.&quot; 
 
There is literally line after line of oppressive government control over what were our freedoms to choose.  
 
There goal is quite apparent once you&#039;ve read this document. Too eliminate the private healthcare industry. Before you say how absurd that is, do yourself a favor and go read the bill. If you haven&#039;t read the bill, I&#039;m not going to waste my time on your comments.  </description>
		<content:encoded><![CDATA[<p>&quot;None of the plans being kicked around at the moment could really be described as &quot;rebuilding from the ground up&quot;, most of them are tweaks aimed at covering the uninsured. &quot; </p>
<p>This is a very uninformed comment. Please go read the bill at <a href="http://edlabor.house.gov/documents/111/pdf/publications/AAHCA-BillText-071409.pdf" target="_blank"></a><a href="http://edlabor.house.gov/documents/111/pdf/public.." rel="nofollow">http://edlabor.house.gov/documents/111/pdf/public..</a>. </p>
<p>In those 1018 pages, it doesn&#039;t take long to come across pg16 which defines the grandfathering into the system of existing private insurance. It states very clearly that NO NEW private insurance policies are permitted after the effective date of this bill. It then says after 5 years, all private plans must be converted into Exchange conforming plans. </p>
<p>Here&#039;s a quick table from the bill that outlines the effective &quot;tax&quot; imposed on small businesses if they don&#039;t offer a public plan. </p>
<p>If the annual payroll of such employer for                  The applicable<br />
the preceding calendar year:                                        percentage is: </p>
<p>Does not exceed $250,000 &#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.      0 percent<br />
Exceeds $250,000, but does not exceed $300,000  2 percent<br />
Exceeds $300,000, but does not exceed $350,000  4 percent<br />
Exceeds $350,000, but does not exceed $400,000  6 percent </p>
<p>On pg 167, the Amendments to the IRS code requiring TAXING individuals not participating in a public plan 2.5% of Adjusted Gross Income. </p>
<p>But of course, on pg170 it exempts any non-resident alien from having to pay such a tax. </p>
<p>On pg203,204 it squirms out of that nasty commitment to not raise taxes on everyone under 250k by stating; </p>
<p>&quot;The amendment made by subsection (a) shall not be treated as a change in a rate of tax for purposes of section 15 of the Internal Revenue Code of 1986.&quot; </p>
<p>There is literally line after line of oppressive government control over what were our freedoms to choose.  </p>
<p>There goal is quite apparent once you&#039;ve read this document. Too eliminate the private healthcare industry. Before you say how absurd that is, do yourself a favor and go read the bill. If you haven&#039;t read the bill, I&#039;m not going to waste my time on your comments.</p>
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		<title>By: Sam J. West</title>
		<link>http://www.thepolight.org/?p=519&#038;cpage=1#comment-102</link>
		<dc:creator>Sam J. West</dc:creator>
		<pubDate>Fri, 24 Jul 2009 00:54:57 +0000</pubDate>
		<guid isPermaLink="false">http://www.thepolight.org/?p=519#comment-102</guid>
		<description>Great article. As a man that has also been recommended to have a mammogram, I can see the likelihood of that kind of treatment being very limited under a government rationed healthcare system. Lot&#039;s of great responses to your post that I&#039;m going to address but I have to say one thing first. 
 
I don&#039;t think anyone who hasn&#039;t at least skimmed the major points of the House bill (which is easily accessible online) has any business wasting our time with politically motivated, uninformed bashing of your ideas. Do everyone a favor, go read the bill and then let&#039;s have a mature discussions of the merits of giving up so much of your liberty and right to choose for a little more coverage.   </description>
		<content:encoded><![CDATA[<p>Great article. As a man that has also been recommended to have a mammogram, I can see the likelihood of that kind of treatment being very limited under a government rationed healthcare system. Lot&#039;s of great responses to your post that I&#039;m going to address but I have to say one thing first. </p>
<p>I don&#039;t think anyone who hasn&#039;t at least skimmed the major points of the House bill (which is easily accessible online) has any business wasting our time with politically motivated, uninformed bashing of your ideas. Do everyone a favor, go read the bill and then let&#039;s have a mature discussions of the merits of giving up so much of your liberty and right to choose for a little more coverage.</p>
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		<title>By: jescocom</title>
		<link>http://www.thepolight.org/?p=519&#038;cpage=1#comment-93</link>
		<dc:creator>jescocom</dc:creator>
		<pubDate>Fri, 24 Jul 2009 00:18:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.thepolight.org/?p=519#comment-93</guid>
		<description>Next time you get sick, get in your car and drive &#039;into&#039;yor classroom. LOL </description>
		<content:encoded><![CDATA[<p>Next time you get sick, get in your car and drive &#39;into&#39;yor classroom. LOL</p>
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		<title>By: Badtux</title>
		<link>http://www.thepolight.org/?p=519&#038;cpage=1#comment-101</link>
		<dc:creator>Badtux</dc:creator>
		<pubDate>Thu, 23 Jul 2009 21:42:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.thepolight.org/?p=519#comment-101</guid>
		<description>The CBO did a study on malpractice. They found actual malpractice costs are 0.3% of healthcare costs. They found that costs relative to &quot;defensive medicine&quot; are at most 1.4% of healthcare costs. While this is a problem, cutting 1.7% from our nation&#039;s healthcare budget is not going to solve our cost problem. 
 
I definitely agree that Big Pharma pushes doctors to overprescribe but part of the overprescribing problem is the lousy state of medical records today. My mother, a nurse, had to strictly police her mother&#039;s doctors and badger them about the medicines they prescribed, they forgot they&#039;d already prescribed medicines for the same thing and doubled her up with conflicting medicines for example.  There is no electronic health records system in most doctor&#039;s offices that will flash up a list of what you&#039;ve already prescribed the patient before you go to prescribe something new to the patient.  </description>
		<content:encoded><![CDATA[<p>The CBO did a study on malpractice. They found actual malpractice costs are 0.3% of healthcare costs. They found that costs relative to &quot;defensive medicine&quot; are at most 1.4% of healthcare costs. While this is a problem, cutting 1.7% from our nation&#039;s healthcare budget is not going to solve our cost problem. </p>
<p>I definitely agree that Big Pharma pushes doctors to overprescribe but part of the overprescribing problem is the lousy state of medical records today. My mother, a nurse, had to strictly police her mother&#039;s doctors and badger them about the medicines they prescribed, they forgot they&#039;d already prescribed medicines for the same thing and doubled her up with conflicting medicines for example.  There is no electronic health records system in most doctor&#039;s offices that will flash up a list of what you&#039;ve already prescribed the patient before you go to prescribe something new to the patient.</p>
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		<title>By: Badtux</title>
		<link>http://www.thepolight.org/?p=519&#038;cpage=1#comment-100</link>
		<dc:creator>Badtux</dc:creator>
		<pubDate>Thu, 23 Jul 2009 21:15:31 +0000</pubDate>
		<guid isPermaLink="false">http://www.thepolight.org/?p=519#comment-100</guid>
		<description>1. Google &quot;Phantoms in the Snow&quot;. There is an actual study. The number of Canadians coming to the US for treatment is 0.11% of all Canadians who receive healthcare -- roughly 3,000 per year total, out of a population of 36 million, most of which is from border communities where the nearest hospital is a U.S. hospital and their province contracts with that hospital for care. 
 
2. Under the current system, your lupus is a pre-existing condition and is not covered. Under the House bill lupus is covered, and it&#039;s *illegal* to discriminate against people with pre-existing conditions -- all conditions must be covered, pre-existing or not.  
 
3. The &quot;new&quot; system is not a &quot;government system&quot; or even truly new. It retains the current insurance industry and medical provider industry but adds mandates and subsidies to make it universal. It changes nothing about how health care is delivered by private doctors and hospitals.  Indeed, I am baffled as to why the current insurance industry is so upset about HR3200 because my reading is that it is a massive subsidy to the insurance industry, transferring tons of tax money into their coffers. 
 </description>
		<content:encoded><![CDATA[<p>1. Google &quot;Phantoms in the Snow&quot;. There is an actual study. The number of Canadians coming to the US for treatment is 0.11% of all Canadians who receive healthcare &#8212; roughly 3,000 per year total, out of a population of 36 million, most of which is from border communities where the nearest hospital is a U.S. hospital and their province contracts with that hospital for care. </p>
<p>2. Under the current system, your lupus is a pre-existing condition and is not covered. Under the House bill lupus is covered, and it&#039;s *illegal* to discriminate against people with pre-existing conditions &#8212; all conditions must be covered, pre-existing or not.  </p>
<p>3. The &quot;new&quot; system is not a &quot;government system&quot; or even truly new. It retains the current insurance industry and medical provider industry but adds mandates and subsidies to make it universal. It changes nothing about how health care is delivered by private doctors and hospitals.  Indeed, I am baffled as to why the current insurance industry is so upset about HR3200 because my reading is that it is a massive subsidy to the insurance industry, transferring tons of tax money into their coffers.</p>
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		<title>By: Badtux</title>
		<link>http://www.thepolight.org/?p=519&#038;cpage=1#comment-99</link>
		<dc:creator>Badtux</dc:creator>
		<pubDate>Thu, 23 Jul 2009 21:06:43 +0000</pubDate>
		<guid isPermaLink="false">http://www.thepolight.org/?p=519#comment-99</guid>
		<description>Uhm that&#039;s not how I read the speech. Obama said the recession is causing healthcare problems as people lose jobs and their healthcare, not the other way around. </description>
		<content:encoded><![CDATA[<p>Uhm that&#039;s not how I read the speech. Obama said the recession is causing healthcare problems as people lose jobs and their healthcare, not the other way around.</p>
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		<title>By: MtnMarmi</title>
		<link>http://www.thepolight.org/?p=519&#038;cpage=1#comment-98</link>
		<dc:creator>MtnMarmi</dc:creator>
		<pubDate>Thu, 23 Jul 2009 20:50:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.thepolight.org/?p=519#comment-98</guid>
		<description>Well said.  Thanks for pointing me to your article via reply Tweet.  I&#039;m agreeable to most of what you&#039;ve said.  I strongly feel major costs are directly related to 1) Malpractice suits.  There needs to be a cap.  2) Pharmaceutical companies and the massive lobbying they do in DC.  WAY too many drugs out there today that are causing more problems.   My sister has multiple health problems.  Over the course of a year, she found herself on 28 meds at once prescribed by 2 doctors!  She was in a brain fog, depression, severe weight gain and a state of muscle deterioration.  She became an invalid at 45, homebound, unable to walk or tend to her own personal needs. Near death, she entered the hospital and their solution was more drugs.  She declined and came home to die.  She began to wean herself off all the drugs, she even had withdrawals.  This was 6 months ago.  Today, she only takes 4 medications, has lost 65 pounds, can walk again and can think clearly.    
 
I&#039;m glad you were able to make the choices you did and got medical treatment.  Kudos! </description>
		<content:encoded><![CDATA[<p>Well said.  Thanks for pointing me to your article via reply Tweet.  I&#039;m agreeable to most of what you&#039;ve said.  I strongly feel major costs are directly related to 1) Malpractice suits.  There needs to be a cap.  2) Pharmaceutical companies and the massive lobbying they do in DC.  WAY too many drugs out there today that are causing more problems.   My sister has multiple health problems.  Over the course of a year, she found herself on 28 meds at once prescribed by 2 doctors!  She was in a brain fog, depression, severe weight gain and a state of muscle deterioration.  She became an invalid at 45, homebound, unable to walk or tend to her own personal needs. Near death, she entered the hospital and their solution was more drugs.  She declined and came home to die.  She began to wean herself off all the drugs, she even had withdrawals.  This was 6 months ago.  Today, she only takes 4 medications, has lost 65 pounds, can walk again and can think clearly.    </p>
<p>I&#039;m glad you were able to make the choices you did and got medical treatment.  Kudos!</p>
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