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Coming: A Two-Tiered Health Care System
Townhall.com ^ | May 25, 2013 | John C. Goodman

Posted on 05/25/2013 7:55:06 AM PDT by Kaslin

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To: Kaslin
[If the economic studies are correct, these newly insured will try to consume twice as much medical care as they have been.]

For a few years I was a volunteer working with indigent people, many with various disabilities. I noticed when many of these people were enrolled in Medicaid they would go to the doctor frequently. They would go to the doctor if they caught a cold. In two different cases I remember clients called ambulances because of perceived “heart palpitations.” In neither case could the EM doctor find any problems after doing a range of tests.

If you advertise “FREE” kittens or puppies the people who show up at your door are mostly those too dysfunctional or poor to take care of a pet.

41 posted on 05/25/2013 9:49:58 AM PDT by Brad from Tennessee (A politician can't give you anything he hasn't first stolen from you.)
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To: RFEngineer
” If you really need that surgery, then pay up! “
What is wrong with that?

Nothing, if the cost reflects the service, and isn't a huge payment for five other people who don't pay through government mandated cost-shifting.

42 posted on 05/25/2013 9:51:10 AM PDT by Pearls Before Swine
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To: JustTheTruth; stephenjohnbanker

“governmental intervention” is the great cost increaser and inhibitor for any business.

We are in the midst of refing our mortgage. We have been with the same bank for 20 years. We have a checking acct, two saving accts, a line of credit, a debit card, safety deposit box and other stuff with them.

Our credit ratings are over 800, and the bank gets direct deposits from our IRAS, SS, my pension and other income generating sources. So the bank knows exactly how much per month net income we have each month and will have.

We have lived in the same home since the 1970’s and the Zillow appraisal shows our home and neighbors’s homes to be valued above the great Pelosi/Reid/Barney lite in the loafers housing crash.

In spite of our documented stability and great credit rating, since, we are considered evil white people by the current administration, we have to have a ton of stuff besides the obvious hard data above for our approval.

The lady in charge of our loan process, said the cause is the raft of people they had to hire to meet fed/state regulations working out of some isolated office, who make everything a hassle. She said 8 years ago, we would have been approved in a couple of days with a drive by appraisal.


43 posted on 05/25/2013 9:52:16 AM PDT by Grampa Dave ('How empty and dead' were they to let Chris Stevens, one of them , die for 'Obama-Clinton fiction?')
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To: Kaslin

Welcome to Europe.... Public vs Private.


44 posted on 05/25/2013 10:00:50 AM PDT by Katya (Homo Nosce Te Ipsum)
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To: Kaslin
Which tier do you think you will be in?

Not sure. But I am certain in which one members of Congress and the Executive Branch will be.

45 posted on 05/25/2013 10:01:05 AM PDT by katana (Just my opinions)
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To: Kaslin

When that happens, it is time to start shooting the “other tier”.


46 posted on 05/25/2013 10:01:52 AM PDT by JimRed (Excise the cancer before it kills us; feed &water the Tree of Liberty! TERM LIMITS, NOW & FOREVER!)
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To: Pearls Before Swine

Its already started... see “concierge” medical services. Every day more doctors are signing up to be included in these programs.


47 posted on 05/25/2013 10:01:59 AM PDT by Katya (Homo Nosce Te Ipsum)
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To: Kaslin

I’ll predict there will be American clinics that treat only Canadians, and Canadian clinics that treat only Americans. The airlines will be the big beneficiaries of Obamacare.


48 posted on 05/25/2013 10:02:43 AM PDT by Senator_Blutarski
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To: silverleaf
just wait until someone over 70 tries to get some IRS clerk to approve hip replacement or chemo, especially if their personal records are flagged with any conservative affiliation.

That will be the time to assure that IRS clerks leaving work have "accidents".

49 posted on 05/25/2013 10:04:04 AM PDT by JimRed (Excise the cancer before it kills us; feed &water the Tree of Liberty! TERM LIMITS, NOW & FOREVER!)
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To: Navy Patriot

Why would the government want to keep you from doing something that would reduce the load on the medical system and cost them nothing?


50 posted on 05/25/2013 10:05:06 AM PDT by nascarnation (Baraq's economic policy: trickle up poverty)
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To: nascarnation

Power, that’s why.


51 posted on 05/25/2013 10:37:55 AM PDT by Lurker (Violence is rarely the answer. But when it is it is the only answer.)
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To: RFEngineer

It seems the biggest complaint about socialized medicine is that it’s not socialized enough. Nothing’s free. Buy the best coverage you can afford. Can’t afford better? Work harder to earn more to buy better.

I have little sympathy for someone sitting around complaining that the government isn’t providing enough of anything, including healthcare.


52 posted on 05/25/2013 11:26:50 AM PDT by Wolfie
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To: Kaslin


53 posted on 05/25/2013 12:08:27 PM PDT by Chode (Stand UP and Be Counted, or line up and be numbered - *DTOM* -ww- NO Pity for the LAZY)
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To: nascarnation
Why would the government want to keep you from doing something that would reduce the load on the medical system and cost them nothing?

They want the money, the government believes that ALL money belongs to them, and they want it. In their opinion the money you pay to a foreign doctor or hospital is not YOURS, it is theirs and you ARE costing them, and they can reduce the load on the system by simply denying you care, (remember those Death Panels?).

54 posted on 05/25/2013 12:08:52 PM PDT by Navy Patriot (Join the Democrats, it's not Fascism when WE do it, and the Constitution and law mean what WE say.)
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55 posted on 05/25/2013 12:10:06 PM PDT by musicman (Until I see the REAL Long Form Vault BC, he's just "PRES__ENT" Obama = Without "ID")
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To: Kaslin
This is the assumption that everyone makes--two tiers of medical care. And I admit it has a surface appeal and I know that there will be some of this. But it is too facile to assume that this is absolutely the face of things to come.

Other option--access to medical care is destroyed: for everyone, and rich people too.

Two tiers would require a infrastructure of hospitals that are for profit, because there are too many regulations for our not-for-profit and nonprofit hospitals to embrace the "rich tier."

How many do we have already, profitable for-profit hospitals? Not many. I can't even think of any off hand.

And this fictional for-profit hospital which caters to the wealthy cannot have an emergency room. Think about it. ERs must take all comers by law, but the the law creates no ERs. So the for profits cannot be in the ER business or they would cease to make enough profit to run the rest of the hospital.

So, the wealthy do not have their own ER. If Bill Gates wrecks his car in a town that has a for-profit hospital, he still has to go to the hospital that caters to the poor. Then, once stabilized, he can be transferred to his sort of place.

The wealthy like to travel, and it would behoove them to stay away from places that do not have a hospital waiting for them.

Hospitals are very much like the Space Shuttle. This is a useful analogy. They are both highly complicated, expensive repositories of technology and highly trained personnel.

Once you shut down the Space Shuttle, even Bill Gates with all his money will never ride in one.

I do not think this two-tier system is as inevitable as everyone assumes. You just need to know a little about the ecosystems of hospitals.

56 posted on 05/25/2013 1:34:10 PM PDT by Mamzelle
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To: dhs12345

I would make a guess by 2025....that we are paying five to eight times the current amount for health care. There will be unregistered doctors who roam the countryside....working out of hotel rooms, and just doing examinations for cash. Most nurses will have gone to private medical units, and if you want a decent nurse at some hospital...figure a $70 a day charge. Your local dope dealer will be selling you drugs...cheaper than the local pharmacy can.


57 posted on 05/26/2013 3:33:48 AM PDT by pepsionice
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To: pepsionice
Very good prediction and hard to dispute.

Welcome to the future of Obamacare. And all of those bureaucrats who forced this on Americans will claim to “know nothing about it.” Or they will use the excuse that it isn't being funded enough: code for we need to raise taxes to astronomical levels. Only thing, money isn't and won't be the problem. Total mismanagement and corruption will be norm just like with Social Security, Medicare and Medicaid. And since there isn't and won't be any accountability it will be a mess.

58 posted on 05/26/2013 10:45:26 AM PDT by dhs12345
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To: dhs12345
just like with Social Security, Medicare and Medicaid.
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^

And our nation's socialist-entitlement and single-payer preK-12 **schoools**!

Every argument used to defend single-payer and socialist-entitlement K-12 schooling will be used to defend single-payer and socialist-entitlement Obamacare.

59 posted on 05/26/2013 10:49:35 AM PDT by wintertime
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To: wintertime

Yup. Until they run out of other peoples money. Then what?


60 posted on 05/26/2013 11:27:12 AM PDT by dhs12345
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