Medicaid in Nevada -a look at the rest of our future

[MumblesBadly]

We spend 700 billion a year on the war machine. Seems like we could average 3 billion a state so poor and working class people can have some health coverage.

War machine employs a ton of people...and indirectly employs a ton more....you'd just be exchanging one problem for another.

This country is a bit of a mess...but still better than Canada

But aren't conservatives opposed to the government spending money on wasteful projects merely to employ people? Like this one.

[Dan Druff]

Medicaid's problem is that it demands no cost-sharing from the patient.

Medicaid has been greatly expanded since Obamacare was passed, but there is still no cost sharing.

Currently more than 20% of Americans are on a form of Medicaid (!!)

The lack of cost-sharing means that patients basically have a blank check to hand medical providers for endless tests, procedures, and treatments, some of which may be unnecessary or in some cases harmful.

The government foots 100% of the bill.

Private insurance requires that the patient almost always foot a portion of the bill, at least up until the out-of-pocket maximum.

Medicaid does pay medical providers less than private health insurance, causing some Medicaid patients to complain that they have a hard time getting care. While 70% of doctors accept Medicaid, many have a cap on the number of Medicaid patients they will accept, thus leaving many Medicaid recipients shut out from finding doctors -- especially in the case of specialists. Also, the 30% not accepting Medicaid tend to be the top tier of doctors, leaving Medicaid recipients with crappier care overall. Visiting a good doctor is extremely important. While any scrub doctor can treat obvious, simple problems, misdiagnosis is a huge problem in medicine, and often the ship only gets righted when the patient sees a specialist who knows what they're doing.

So, yeah, Medicaid patients are getting overall shitty care, yet they are still expensive, because they never factor cost in their decision to go to the doctor, get a test done, etc.

As I've mentioned before, cost needs to be a factor, or otherwise medical offices and facilities get flooded.

As an example, say I wake up today with some moderately bad knee pain. Provided I can still walk and am not in excruciating pain, I am not going to run to the doctor, because the tests required to examine my knee will be expensive, and this sort of thing will usually resolve on its own. So I will wait 2 weeks and see if i just gets better by itself. A Medicaid patient will not wait, as there is no consequence to them in jumping the gun and going to the doctor too early.

Tellafriend is actually correct in his OP. This is our future. Neither party is getting healthcare right, and neither one is even close to being on the right track. Eventually the people will get fed up, demand socialized medicine (incorrectly believing that to be the solution), and things will become an even bigger (and costlier) mess.

The actual solution is to CONTROL COSTS of health care, which have skyrocketed unnecessarily. Unfortunately, neither party is interested in taking on that challenge.

[Ryback_feed_me_more]

We spend 700 billion a year on the war machine. Seems like we could average 3 billion a state so poor and working class people can have some health coverage.

Do you realize that Dept of Health and Human Services Spending dwarfs DOD spending???? HHS includes Medicare, Medicaid, etc.. DOD aint whats bankrupting this country.. Its increasing financial spending on entitlements and freebies.. Not to mention SS is now going to start paying out less then it takes in from citizens.. The ROI on SS is basically at 0 and will become negative very shortly.. In otherwords the money your losing in your checks to SSI might as well be in a mattress. But since the govt now thinks people who dare hold cash are all drug dealers and legally stealing from folks via Civil Asset Forfeiture that isn't much of an option..

DHHS has had a larger chunk of the US GDP since 1995 and that's a fact..

http://supportingevidence.com/Govern...rcent_GDP.html

[Ryback_feed_me_more]

Medicaid's problem is that it demands no cost-sharing from the patient.

Medicaid has been greatly expanded since Obamacare was passed, but there is still no cost sharing.

Currently more than 20% of Americans are on a form of Medicaid (!!)

The lack of cost-sharing means that patients basically have a blank check to hand medical providers for endless tests, procedures, and treatments, some of which may be unnecessary or in some cases harmful.

The government foots 100% of the bill.

Private insurance requires that the patient almost always foot a portion of the bill, at least up until the out-of-pocket maximum.

Medicaid does pay medical providers less than private health insurance, causing some Medicaid patients to complain that they have a hard time getting care. While 70% of doctors accept Medicaid, many have a cap on the number of Medicaid patients they will accept, thus leaving many Medicaid recipients shut out from finding doctors -- especially in the case of specialists. Also, the 30% not accepting Medicaid tend to be the top tier of doctors, leaving Medicaid recipients with crappier care overall. Visiting a good doctor is extremely important. While any scrub doctor can treat obvious, simple problems, misdiagnosis is a huge problem in medicine, and often the ship only gets righted when the patient sees a specialist who knows what they're doing.

So, yeah, Medicaid patients are getting overall shitty care, yet they are still expensive, because they never factor cost in their decision to go to the doctor, get a test done, etc.

As I've mentioned before, cost needs to be a factor, or otherwise medical offices and facilities get flooded.

As an example, say I wake up today with some moderately bad knee pain. Provided I can still walk and am not in excruciating pain, I am not going to run to the doctor, because the tests required to examine my knee will be expensive, and this sort of thing will usually resolve on its own. So I will wait 2 weeks and see if i just gets better by itself. A Medicaid patient will not wait, as there is no consequence to them in jumping the gun and going to the doctor too early.

Tellafriend is actually correct in his OP. This is our future. Neither party is getting healthcare right, and neither one is even close to being on the right track. Eventually the people will get fed up, demand socialized medicine (incorrectly believing that to be the solution), and things will become an even bigger (and costlier) mess.

The actual solution is to CONTROL COSTS of health care, which have skyrocketed unnecessarily. Unfortunately, neither party is interested in taking on that challenge.

People want to blame medical costs on Doctors and hospitals ridiculous amounts.. Hospitals have to try and recoup money for uninsured ER bills although I do think maybe if they charged uninsured close to what they get from some of the big carriers maybe they might see payment.. I mean hell I looked online my Insurance was billed over $600 for a specialist visit yet they got $160 for the visit. As for MDs if the greedy trial lawyers were muzzled slightly and the lottery mentality of those who think a Dr sneezing during surgery is equal to $1M payment drives up insane malpractice insurance rates which the MDs have to cover in their overhead.. Some ER MDs pay tens of thousands a month in Malpractice Insurance even if they've NEVER had a complaint or lawsuit filed.. Until legal reform is undertaken that limits awards to reasonable sums based on real expenses and reasonable awards, and treble damages are limited to only cases of legit gross negligence..

BTW Druff its the trial lawyer and malpractice also drives up costs in that MDs especially in the ER have to practice CYA medicine because should the patient have some zebra type medical issue they get sued because the odds of an expensive test finding something are small but by not doing the testing and something is there the MD gets sued under the table..

[Dan Druff]

Medicaid's problem is that it demands no cost-sharing from the patient.

Medicaid has been greatly expanded since Obamacare was passed, but there is still no cost sharing.

Currently more than 20% of Americans are on a form of Medicaid (!!)

The lack of cost-sharing means that patients basically have a blank check to hand medical providers for endless tests, procedures, and treatments, some of which may be unnecessary or in some cases harmful.

The government foots 100% of the bill.

Private insurance requires that the patient almost always foot a portion of the bill, at least up until the out-of-pocket maximum.

Medicaid does pay medical providers less than private health insurance, causing some Medicaid patients to complain that they have a hard time getting care. While 70% of doctors accept Medicaid, many have a cap on the number of Medicaid patients they will accept, thus leaving many Medicaid recipients shut out from finding doctors -- especially in the case of specialists. Also, the 30% not accepting Medicaid tend to be the top tier of doctors, leaving Medicaid recipients with crappier care overall. Visiting a good doctor is extremely important. While any scrub doctor can treat obvious, simple problems, misdiagnosis is a huge problem in medicine, and often the ship only gets righted when the patient sees a specialist who knows what they're doing.

So, yeah, Medicaid patients are getting overall shitty care, yet they are still expensive, because they never factor cost in their decision to go to the doctor, get a test done, etc.

As I've mentioned before, cost needs to be a factor, or otherwise medical offices and facilities get flooded.

As an example, say I wake up today with some moderately bad knee pain. Provided I can still walk and am not in excruciating pain, I am not going to run to the doctor, because the tests required to examine my knee will be expensive, and this sort of thing will usually resolve on its own. So I will wait 2 weeks and see if i just gets better by itself. A Medicaid patient will not wait, as there is no consequence to them in jumping the gun and going to the doctor too early.

Tellafriend is actually correct in his OP. This is our future. Neither party is getting healthcare right, and neither one is even close to being on the right track. Eventually the people will get fed up, demand socialized medicine (incorrectly believing that to be the solution), and things will become an even bigger (and costlier) mess.

The actual solution is to CONTROL COSTS of health care, which have skyrocketed unnecessarily. Unfortunately, neither party is interested in taking on that challenge.

People want to blame medical costs on Doctors and hospitals ridiculous amounts.. Hospitals have to try and recoup money for uninsured ER bills although I do think maybe if they charged uninsured close to what they get from some of the big carriers maybe they might see payment.. I mean hell I looked online my Insurance was billed over $600 for a specialist visit yet they got $160 for the visit. As for MDs if the greedy trial lawyers were muzzled slightly and the lottery mentality of those who think a Dr sneezing during surgery is equal to $1M payment drives up insane malpractice insurance rates which the MDs have to cover in their overhead.. Some ER MDs pay tens of thousands a month in Malpractice Insurance even if they've NEVER had a complaint or lawsuit filed.. Until legal reform is undertaken that limits awards to reasonable sums based on real expenses and reasonable awards, and treble damages are limited to only cases of legit gross negligence..

BTW Druff its the trial lawyer and malpractice also drives up costs in that MDs especially in the ER have to practice CYA medicine because should the patient have some zebra type medical issue they get sued because the odds of an expensive test finding something are small but by not doing the testing and something is there the MD gets sued under the table..

Yes, there needs to be some malpractice reform, but to be honest, there's a lot of malpractice out there.

Yes, the ER situation has to be addressed. Right now, ER patients who pay their bills are basically forced, through ridiculous prices, to cover the many people who don't pay.

But these aren't the biggest issues with medical costs.

The truth is that the cost structure and method of medical billing have spiraled out of control.

Healthcare is the only industry in the US where you usually can't find out what something costs before you buy it, AND you are legally responsible to pay whatever they charge you. That's horrible, and about as anti-consumer as it gets.

The current medical billing system is opaque and highly confusing, even for someone like myself who is very familiar with how it all works.

The cost structure is extremely arbitrary and out of line with the rest of the developed world. Some things, such as lengthy procedures or minor surgeries peformed by doctors, are surprisingly reasonable in cost, while others (especially tests) are outrageously expensive.

The billing system invites medical fraud by legally allowing offices to double and triple bill you for the same visit. In other cases, routine "office visits" (expected to cost $40 or so) end up costing many hundreds because of the extremely lose classification of what constitutes "surgery".

It is rare that you know what a procedure or test will cost you out of pocket -- even if you attempt to research it beforehand.

It's a fucking mess and a fucking disgrace.

Anyone who says healthcare reform doesn't need a major overhaul in billing and cost doesn't understand the real problem we're facing.

[Tellafriend]

As for MDs if the greedy trial lawyers were muzzled slightly and the lottery mentality of those who think a Dr sneezing during surgery is equal to $1M payment drives up insane malpractice insurance rates which the MDs have to cover in their overhead.. Some ER MDs pay tens of thousands a month in Malpractice Insurance even if they've NEVER had a complaint or lawsuit filed.. Until legal reform is undertaken that limits awards to reasonable sums based on real expenses and reasonable awards, and treble damages are limited to only cases of legit gross negligence..

BTW Druff its the trial lawyer and malpractice also drives up costs in that MDs especially in the ER have to practice CYA medicine because should the patient have some zebra type medical issue they get sued because the odds of an expensive test finding something are small but by not doing the testing and something is there the MD gets sued under the table..

Most states have passed so-called tort reform with damage caps on most cases, especially on medical malpractice cases, so your argument by and large fails. You are just regurgitating what you have heard from the chamber of commerce.

And before anyone says anything about the McDonald's coffee case, educate yourselves first:

https://www.gtla.org/index.cfm?pg=TruthBehindHotCoffee

Medical costs are a complex, multi-faceted problem which will require all of the stakeholders to solve. Unfortunately, we can't agree on fixing the simplest of things these days, so this isn't happening on a federal level anytime soon. In fact, the easiest and most likely fix will be single-payor, we just aren't there yet but demographically we will be in the next couple of decades if not sooner.

[gauchojake]

Medicaid often has a share of cost that the member must pay in a given month.

If we want to control healthcare costs, there are a few things that we (USA) need to do. 1. Stop Pharma advertising. Prescription drugs are a huge spend (2% of GDP) that oddly enough held steady until the drug companies figured out how to get them on TV without running afoul of the FDA. 2. Payment reform (this is already happening FYI). Current payment methods reward providers who bill more. The more services and products you provide, the more you get paid. Obv providers are going to bill more to get paid more.

I'll say it again because we get mixed up in the whole Obamacare argument - WE HAVE A SENIOR PROBLEM. 10,000 people A DAY turn 65 for the next 20 years. Unless we can start euthanizing them, we are going to be spending a shit ton more on healthcare for the foreseeable future.

Carry on.

[MumblesBadly]

Medicaid often has a share of cost that the member must pay in a given month.

If we want to control healthcare costs, there are a few things that we (USA) need to do. 1. Stop Pharma advertising. Prescription drugs are a huge spend (2% of GDP) that oddly enough held steady until the drug companies figured out how to get them on TV without running afoul of the FDA. 2. Payment reform (this is already happening FYI). Current payment methods reward providers who bill more. The more services and products you provide, the more you get paid. Obv providers are going to bill more to get paid more.

I'll say it again because we get mixed up in the whole Obamacare argument - WE HAVE A SENIOR PROBLEM. 10,000 people A DAY turn 65 for the next 20 years. Unless we can start euthanizing them, we are going to be spending a shit ton more on healthcare for the foreseeable future.

Carry on.

Germany, which has universal healthcare using a personal mandate, a mix of compulsary and private health insurance, as well as regulation of prices, insurance plans and insurers, and liberal subsidies for unemployed and and lower income folks, also has a problem with doctors pefroming too many procedures due to a similar fee-for-service model as Medicare/Medicaid. But their system works pretty well, with near universal coverage, and health outcomes comparable to the those in the US, but at about 60% of the GDP burden that the US bears.

[thesparten]

The problem with Medicaid is that there is too much access to it..

Any body who crosses the border gets one.. there entitled to 1,000,000 of health care upon arrival..

I known what trump and the law says but every illigal has a medicaid card..

If it were only for the citizenry , it would be fine..

There are no checks and balances..

I have a yeman (Moslem) aquantince..he asked my advice showing me his medical records, he just went to a couple of doctors and I made an appointment for him for a gastroenterologist..

He didn't like the doctor and after the visit made another appointment to another gastroenterologist..

I couldn't do that or afford that with my insurance.

He also has 6 moslem kids on Medicaid and works off the books..

Also housing is off the hook..

Most of my working class friends are barley getting by and all the baby momma,s have 3 bedroom apartment,s for free for the rest of there lives plus it also pays for the light bill.. that's a million dollar ticket..

While the Dems tell us we just have to pay a little more in taxes.

The main problem is that the system penalize,s hard work and marriage but rewards being a parasite..

[abrown83]

People want to blame medical costs on Doctors and hospitals ridiculous amounts.. Hospitals have to try and recoup money for uninsured ER bills although I do think maybe if they charged uninsured close to what they get from some of the big carriers maybe they might see payment.. I mean hell I looked online my Insurance was billed over $600 for a specialist visit yet they got $160 for the visit. As for MDs if the greedy trial lawyers were muzzled slightly and the lottery mentality of those who think a Dr sneezing during surgery is equal to $1M payment drives up insane malpractice insurance rates which the MDs have to cover in their overhead.. Some ER MDs pay tens of thousands a month in Malpractice Insurance even if they've NEVER had a complaint or lawsuit filed.. Until legal reform is undertaken that limits awards to reasonable sums based on real expenses and reasonable awards, and treble damages are limited to only cases of legit gross negligence..

BTW Druff its the trial lawyer and malpractice also drives up costs in that MDs especially in the ER have to practice CYA medicine because should the patient have some zebra type medical issue they get sued because the odds of an expensive test finding something are small but by not doing the testing and something is there the MD gets sued under the table..

Yes, there needs to be some malpractice reform, but to be honest, there's a lot of malpractice out there.

Yes, the ER situation has to be addressed. Right now, ER patients who pay their bills are basically forced, through ridiculous prices, to cover the many people who don't pay.

But these aren't the biggest issues with medical costs.

The truth is that the cost structure and method of medical billing have spiraled out of control.

Healthcare is the only industry in the US where you usually can't find out what something costs before you buy it, AND you are legally responsible to pay whatever they charge you. That's horrible, and about as anti-consumer as it gets.

The current medical billing system is opaque and highly confusing, even for someone like myself who is very familiar with how it all works.

The cost structure is extremely arbitrary and out of line with the rest of the developed world. Some things, such as lengthy procedures or minor surgeries peformed by doctors, are surprisingly reasonable in cost, while others (especially tests) are outrageously expensive.

The billing system invites medical fraud by legally allowing offices to double and triple bill you for the same visit. In other cases, routine "office visits" (expected to cost $40 or so) end up costing many hundreds because of the extremely lose classification of what constitutes "surgery".

It is rare that you know what a procedure or test will cost you out of pocket -- even if you attempt to research it beforehand.

It's a fucking mess and a fucking disgrace.

Anyone who says healthcare reform doesn't need a major overhaul in billing and cost doesn't understand the real problem we're facing.

All of this

Broke my shoulder 6 weeks ago

On Friday went to Urgent Care, got X-Rays, they told me it was broken. Doctor cost was $180 for the visit, $100 for X-Rays, seemed totally reasonable.

On Monday went to the surgeon, went back straight to X-Rays, doctor came in and told me I don't need surgery, whole visit lasted less than 15 minutes from the time I went to the back, which included about 90 seconds with the Doc. $1100, charged me $750 for the diagnosis of a broken shoulder, the rest was the visit and the x-rays.

I flipped shit because, I already had been told it had been broken at Urgent Care. So basically I am paying $750 for the guy to confirm I won't need surgery.

What they should have is the following:

$250 - Read x-ray, no surgery, no action taken
$500 - Read x-ray, no surgery, restrained into sling or cast
$750 - Read x-ray, need surgery, restrained, surgical action suggested

But instead all those scenarios are just lumped into a single cost and literally required probably <3 minutes of the doctors time.

[Tellafriend]

The main problem is that the system penalize,s hard work and marriage but rewards being a parasite..

Yes, yes it does.

[Tellafriend]

All of this

Broke my shoulder 6 weeks ago

On Friday went to Urgent Care, got X-Rays, they told me it was broken. Doctor cost was $180 for the visit, $100 for X-Rays, seemed totally reasonable.

On Monday went to the surgeon, went back straight to X-Rays, doctor came in and told me I don't need surgery, whole visit lasted less than 15 minutes from the time I went to the back, which included about 90 seconds with the Doc. $1100, charged me $750 for the diagnosis of a broken shoulder, the rest was the visit and the x-rays.

I flipped shit because, I already had been told it had been broken at Urgent Care. So basically I am paying $750 for the guy to confirm I won't need surgery.

What they should have is the following:

$250 - Read x-ray, no surgery, no action taken
$500 - Read x-ray, no surgery, restrained into sling or cast
$750 - Read x-ray, need surgery, restrained, surgical action suggested

But instead all those scenarios are just lumped into a single cost and literally required probably <3 minutes of the doctors time.

You meant to say this is the greedy trial lawyers' fault, right?

[thesparten]

Yes, there needs to be some malpractice reform, but to be honest, there's a lot of malpractice out there.

Yes, the ER situation has to be addressed. Right now, ER patients who pay their bills are basically forced, through ridiculous prices, to cover the many people who don't pay.

But these aren't the biggest issues with medical costs.

The truth is that the cost structure and method of medical billing have spiraled out of control.

Healthcare is the only industry in the US where you usually can't find out what something costs before you buy it, AND you are legally responsible to pay whatever they charge you. That's horrible, and about as anti-consumer as it gets.

The current medical billing system is opaque and highly confusing, even for someone like myself who is very familiar with how it all works.

The cost structure is extremely arbitrary and out of line with the rest of the developed world. Some things, such as lengthy procedures or minor surgeries peformed by doctors, are surprisingly reasonable in cost, while others (especially tests) are outrageously expensive.

The billing system invites medical fraud by legally allowing offices to double and triple bill you for the same visit. In other cases, routine "office visits" (expected to cost $40 or so) end up costing many hundreds because of the extremely lose classification of what constitutes "surgery".

It is rare that you know what a procedure or test will cost you out of pocket -- even if you attempt to research it beforehand.

It's a fucking mess and a fucking disgrace.

Anyone who says healthcare reform doesn't need a major overhaul in billing and cost doesn't understand the real problem we're facing.

All of this

Broke my shoulder 6 weeks ago

On Friday went to Urgent Care, got X-Rays, they told me it was broken. Doctor cost was $180 for the visit, $100 for X-Rays, seemed totally reasonable.

On Monday went to the surgeon, went back straight to X-Rays, doctor came in and told me I don't need surgery, whole visit lasted less than 15 minutes from the time I went to the back, which included about 90 seconds with the Doc. $1100, charged me $750 for the diagnosis of a broken shoulder, the rest was the visit and the x-rays.

I flipped shit because, I already had been told it had been broken at Urgent Care. So basically I am paying $750 for the guy to confirm I won't need surgery.

What they should have is the following:

$250 - Read x-ray, no surgery, no action taken
$500 - Read x-ray, no surgery, restrained into sling or cast
$750 - Read x-ray, need surgery, restrained, surgical action suggested

But instead all those scenarios are just lumped into a single cost and literally required probably <3 minutes of the doctors time.

Because your subsidizing baby momma and illigals..

I have no dental.. need a cavity fixed..

Medicaid , which is the majority of the doctor's clients pays the doctor $35 for a cavity..

By the way.. all children under 18 get braces through medicaid. All those Bronx Puerto Ricans do have pearly whites.

All the tax paying working class have crooked teeth..

The doctor wanted $125 from me in cash. I asked if medicaid pays $35 with all that paperwork, shouldn't u charge me less for cash..

He said, I understand but it's still $125. When I started to walk out he said he would do me a "favor" and take $90..lol

Also since the Rhino,s don't want individual,s to creat groups and negotiate the prices are outrageous..

A test my girlfriend took cost $1800.. the negotiated rate was $155 bucks..

So the doctor was happy to take care of her but if u were a cash payer , u would have to come up with $1800 fucken dollars.

[thesparten]

New York HAD A GOOD health system.

If your income was above the poverty thresh hold limit the would subsidize the difference.

Meaning..
If you made between 18k and 30k. You would go to the private market and pick whatever health plan and pharma plan you want with whatever riders you want..

The price was 50/50 what you paid and what n.y. paid.

If you made 30k/45k it was 75%/%25

ECT ECT..

It was stopped after Obama care because he put all those mandates about your kids staying on untill there 35y.o. or some shit like that and men paying for maternity care ECT ECT..

I got the basic in network h.m.o. health care with the upper tier pharma plan and a 1k deductible for $287 a month and had 6 companies to choose from and a ton of riders .

That was fair couse it also instilled personal responsibility to help with costs

It was called the healthy n.y. program!!!!

I blame the RHINO,S for the mess that were in today that Obama created.

[Tellafriend]

100 years ago: you took care of yourself, decided what you wanted/needed and could afford, but didn't look to the government or others to subsidize your decisions. Novel idea.

[thesparten]

Hypothetically I agree..

But the way the system is geared now.. u can't fill a cavity without subsidizing the free health care and housing and education of the so called "marginalized" community..

No insurance will work if u cover your kids halfway to retirement and you can by it after you get into an accident..lol

[Sanlmar]

100 years ago: you took care of yourself, decided what you wanted/needed and could afford, but didn't look to the government or others to subsidize your decisions. Novel idea.

I saw Mumbles attempted to post an argument using Germany as an example then deleted it. Smart move.

You are right, Tellafriend. Recall The Great Depression. You and I were just young lads selling apples on the corner. It never entered the public consciousness that government owed the public anything.

Such thinking would be similar to OSA looking for handouts. People possessed the Puritan Work Ethic. Their forefathers endured great suffering to incrementally improve the next generations lot. There was pride in suffering and sacrificing.

These are old fashioned virtues and nonexistent today.

Along comes that radical FDR and it all changed.

In his 1941 State of the Union Address, President Franklin D. Roosevelt infamously enumerated what he called the “four essential human freedoms.” They were: freedom of expression, freedom of religion, freedom from fear and freedom from want.

The seeds for ruin were cast.

A great bit of trivia is the fact that many god fearing, hard working Americans would not carry a dime with FDR's face on it.

The story may be apocryphal but it is said that JC Penney would not stock dimes in his registers. To this day the store paperwork does not have the option to order dimes as change. Whatever dimes are in circulation at the store are from customers.

"I'll take Ayn Rand for 10 cents, Alex"

[gauchojake]

I'll be meeting with healthcare thought leaders in a few weeks and will bring them the spartens grievances.

[thesparten]

I'll be meeting with healthcare thought leaders in a few weeks and will bring them the spartens grievances.

No need..

TRUMPWON

[hongkonger]

As for MDs if the greedy trial lawyers were muzzled slightly and the lottery mentality of those who think a Dr sneezing during surgery is equal to $1M payment drives up insane malpractice insurance rates which the MDs have to cover in their overhead.. Some ER MDs pay tens of thousands a month in Malpractice Insurance even if they've NEVER had a complaint or lawsuit filed.. Until legal reform is undertaken that limits awards to reasonable sums based on real expenses and reasonable awards, and treble damages are limited to only cases of legit gross negligence..

BTW Druff its the trial lawyer and malpractice also drives up costs in that MDs especially in the ER have to practice CYA medicine because should the patient have some zebra type medical issue they get sued because the odds of an expensive test finding something are small but by not doing the testing and something is there the MD gets sued under the table..

Most states have passed so-called tort reform with damage caps on most cases, especially on medical malpractice cases, so your argument by and large fails. You are just regurgitating what you have heard from the chamber of commerce.

And before anyone says anything about the McDonald's coffee case, educate yourselves first:

https://www.gtla.org/index.cfm?pg=TruthBehindHotCoffee

Medical costs are a complex, multi-faceted problem which will require all of the stakeholders to solve. Unfortunately, we can't agree on fixing the simplest of things these days, so this isn't happening on a federal level anytime soon. In fact, the easiest and most likely fix will be single-payor, we just aren't there yet but demographically we will be in the next couple of decades if not sooner.

I didn't realize this was your take, good on ya. Single payer is the way to go.