UK's Death Pathway (Infant Death ment.) - Page 5
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Thread: UK's Death Pathway (Infant Death ment.)

  1. #41
    Posting Addict smsturner's Avatar
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    I just want to say it's incredibly ridiculous that anyone is even putting out there that this is what we are going to do with 'obamacare'. Talk about trying to pull a scare tactic. Jeez.
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  2. #42
    Community Host wlillie's Avatar
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    Quote Originally Posted by Rivergallery View Post
    wlillie - are you ok? never heard you swearing on the debate board before.. have you been hijacked?
    Yeah, I'm getting frustrated with the way our system is going. I'm actually starting to get scared and I'm tired of stupid people who don't use logic or try to reason out what's going to happen in the future and just hope for rainbows and unicorns. I'm so scared I'm raising responsible wonderful little boys who are going to be paying for these mistakes for the rest of their lives. I'm worried that our constitution isn't seen as important by ANYONE we vote for anymore.

    Stacey, the problem is that if I do a phone consult, they have me call and make an appt. It's happened the last 6 times because our doctor's don't really deal with people with only one kidney. *Just tried again for January. No go. So I lost a little integrity and lied and said my foot hurt and I needed to be seen immediately. Got an appt for January 8th. Anyone who says they didn't have problems with Tricare didn't have Tricare. I have to have the kidney function lab done once a year. I'm not allowed to call in the consult and just have the lab done because the system isn't set up that way. My son's 6 month appt will be less late than his four month appt and will be at 7 months. At least I got in.

    Jessica-Congress? You mean the one that passed this bill with the majority admitting to not reading it? That Congress? The one who still can't pass a budget the President will approve? That Congress? Tricare has treatment facilities, so when you say the office, you are actually talking about Tricare in this instance.
    Last edited by wlillie; 12-17-2012 at 09:10 PM.
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  3. #43
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    Okay...I'm not 100% familiar with Tricare and a person that I knew that had it went to a regular office that took other insurance. Not a Tricare specific facility.

  4. #44
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    All I was saying is that changes cannot be made without running it through Congress. I'm not going to debate the merits of Congress or what they pass or don't pass because there's always going to be something I agree with or don't. I was merely stating that the "panel" does not have the only or final decision and they are not a death panel. They do not decide if you get or don't get a service. They decide what usual and customary charges are for a specific procedure which private insurance does already. With their "panels" so to speak.

  5. #45
    Community Host wlillie's Avatar
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    Quote Originally Posted by Jessica80 View Post
    All I was saying is that changes cannot be made without running it through Congress. I'm not going to debate the merits of Congress or what they pass or don't pass because there's always going to be something I agree with or don't. I was merely stating that the "panel" does not have the only or final decision and they are not a death panel. They do not decide if you get or don't get a service. They decide what usual and customary charges are for a specific procedure which private insurance does already. With their "panels" so to speak.
    I just don't understand how liberals can't see how this works. Seriously. Once these panels decide that a particular procedure is too expensive for what the value they get, the procedures won't be available anymore. If private insurance doesn't feel like paying for something you still have the option to have a fundraiser or pay for it yourself. It just boggles my mind how shortsighted people can be. How they just can't think for themselves and take whatever the media and the people who benefit from changes like this dish out to them without trying to figure out what those changes will do to them. It's so freaking scary.
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  6. #46
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    So what stops you from holding a fundraiser if a federal plan doesn't cover a procedure or paying for it yourself?

    I guess since I'm living in Mass. and we have HCR I have not seen this path you speak of. We still have plenty of private plan coverage. Masshealth (Medicaid) provides coverage and has plenty of covered services. U&C review boards don't review the med. necessity. They review the customary pay rate. That's what private insurance does now. There are physicians who review to determine if a procedure meets criteria for coverage and then another review board reviews how much they will pay a doctor and/or hospital for the procedure. This is being done NOW so what is the issue?

  7. #47
    Community Host wlillie's Avatar
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    Quote Originally Posted by Jessica80 View Post
    So what stops you from holding a fundraiser if a federal plan doesn't cover a procedure or paying for it yourself?

    I guess since I'm living in Mass. and we have HCR I have not seen this path you speak of. We still have plenty of private plan coverage. Masshealth (Medicaid) provides coverage and has plenty of covered services. U&C review boards don't review the med. necessity. They review the customary pay rate. That's what private insurance does now. There are physicians who review to determine if a procedure meets criteria for coverage and then another review board reviews how much they will pay a doctor and/or hospital for the procedure. This is being done NOW so what is the issue?
    NOW they know people can leave Mass. and go to any other state and get the care they need. WTF are you going to do when the federal government makes it impossible or actually outlaws other insurance and you are left with whatever the hell they decide is worthy? When they jack the healthcare we have now even more and we get what I like to think of as the "education" effect. Federally funded student loans and scholarships have consistently raised the cost of higher education and led to a HUGE number of people who paid for their college with the hopes that their completely useless degrees will pay off in some way. Instead of letting the market help people decide what is actually needed (with scholarships for the careers who need/want people granted by those that care and invest in it). Now we have a 10 year period with about half the graduates living at home with their mom's and dad's and unable to pay off their damn loans cause some idiot told them they could "do whatever they want to when they grow up" and our stupid government co-signed for them to be able to do exactly that. Now they aren't able to pay, education is wayyyy more expensive because it's been subsidized by nitwits for so long, and we have an entire generation of people coming through who really honestly believe that everyone else owes them college and they shouldn't have to pay back those loans because they were tricked into them and they are often too stupid to even think about reading what the hell they are signing. Lets do that to healthcare even MORE than we already have. Sounds f*ing brilliant.

    This healthcare bill is such a huge mess and so unconstitutional I am still reeling from shock that people are drinking the damn koolaid.

    eta-Please please don't forget these boards aren't really going to go to Congress. They aren't. They are going to be delegated the responsibility and given about a tenth of the information they need to make the decision, they are going to be the people who couldnt' make it in the real world so their friends gave them a job, and they are going to go home not caring one way or the other if they made the right decision as long as their check is direct deposited. Just like the un-elected governemnt employees we have now.
    Last edited by wlillie; 12-18-2012 at 07:18 PM.

  8. #48
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    OH!!! and the Tricare thing? CANNOT wait to have liberals blow up facebook in about 10 years when the government has "fixed" healthcare and you guys are getting the same "free" healthcare we get. CANNOT wait. I'm just going to lay back and laugh until I pee myself. Because treatment facilities are in your future if you guys don't start voting differently. It's going to be so funny. I'm not even going to say I told you so because I'm honestly going to feel bad for them. But it's going to be so funny at the same time. Wait til your husband has cancer or your kid has a heart problem, or you need your kidney function tested and it's the government paying your doctors.
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  9. #49
    Posting Addict Spacers's Avatar
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    Hey, I never said I wanted Tricare for everyone. I want everyone to be with Kaiser. Doctors on salary working set schedules, no more tired-to-the-bone-while-performing-your-surgery accidents. Integrated medical model, everything you need in one place, no finding a lab that takes your insurance or being sent home with a prescription you have to fill tomorrow instead of with the medicine you need now. And if you need to see a specialist, you see a specialist, there's no arguing with your "gatekeeper" PCP whose primary job isn't so much to care for you as it is to control costs by keeping you away from specialists. Love love love Kaiser.
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  10. #50
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    Lillie~you act like we haven't thought this through as much as you have. Just because I don't see your conclusion doesn't mean I haven't thought this through. I don't "drink kool-aid" and I can think for myself thank you very much.

    NHCR is about a LOT of different things and not just universal healthcare. There isn't a move to go to a "Tricare-like system". Honestly, I am not pro single payer system and I've been up front about that. I am pro everyone has access to coverage for their healthcare. There is a larger access to federally funded health plans but you can still purchase your own healthcare. Private insurance already base their U&C rates on CMS allowance schedule and we haven't lost access to life saving procedures. Again, I've been living this for 5 years and the results you are foreshadowing are just not here or in the imminent future.

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