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	<title>Comments on: let&#8217;s have a NQ town hall on health care!</title>
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		<title>By: Kei</title>
		<link>http://www.noquarterusa.net/blog/30667/lets-have-a-nq-town-hall-on-health-care/#comment-1246599</link>
		<dc:creator>Kei</dc:creator>
		<pubDate>Sat, 22 Aug 2009 06:28:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30667#comment-1246599</guid>
		<description>What&#039;s wrong with going to Hillbuzz?</description>
		<content:encoded><![CDATA[<p>What&#8217;s wrong with going to Hillbuzz?</p>
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		<title>By: Tuppence411</title>
		<link>http://www.noquarterusa.net/blog/30667/lets-have-a-nq-town-hall-on-health-care/#comment-1245821</link>
		<dc:creator>Tuppence411</dc:creator>
		<pubDate>Thu, 20 Aug 2009 11:54:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30667#comment-1245821</guid>
		<description>Sorry Sara, that it took me so long to get back to you. #1 A perfect example is DRGs- an idea with good intentions to control costs and fraud that in practice has skyrocketed administration costs and caused even more regional disparities.  That&#039;s when the goverment or the insurance company says we will only pay $XYZ for ABC and only under DEF circumstances.</description>
		<content:encoded><![CDATA[<p>Sorry Sara, that it took me so long to get back to you. #1 A perfect example is DRGs- an idea with good intentions to control costs and fraud that in practice has skyrocketed administration costs and caused even more regional disparities.  That&#8217;s when the goverment or the insurance company says we will only pay $XYZ for ABC and only under DEF circumstances.</p>
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		<title>By: Jim S</title>
		<link>http://www.noquarterusa.net/blog/30667/lets-have-a-nq-town-hall-on-health-care/#comment-1245796</link>
		<dc:creator>Jim S</dc:creator>
		<pubDate>Thu, 20 Aug 2009 05:59:57 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30667#comment-1245796</guid>
		<description>According to a report from Fox News, Axelrod and his kid are getting kickbacks from PHARMA

http://tinyurl.com/ngvmfo</description>
		<content:encoded><![CDATA[<p>According to a report from Fox News, Axelrod and his kid are getting kickbacks from PHARMA</p>
<p><a href="http://tinyurl.com/ngvmfo" rel="nofollow">http://tinyurl.com/ngvmfo</a></p>
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		<title>By: Country First</title>
		<link>http://www.noquarterusa.net/blog/30667/lets-have-a-nq-town-hall-on-health-care/#comment-1245765</link>
		<dc:creator>Country First</dc:creator>
		<pubDate>Thu, 20 Aug 2009 03:44:56 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30667#comment-1245765</guid>
		<description>What I haven&#039;t heard in all these discussions about health care is personal responsibility.  My parents, barely middle class, saved all their lives for their old age.  They were concerned that an illness would wipe them out so they sacrificed to carry insurance and have a savings account that would pay for anything the insurance didn&#039;t pay.  They left this world not owing anyone, doctors or hospitals or burial expenses.

After we raised our two children, my husband and I sacrificed to carry that sencond insurance policy.  We didn&#039;t have fancy vacations or fancy cars.  We never owned a &quot;new&quot; car.  The last used car we purchased was a 1992 Geo, which now has 210,000 miles on it.  We are also sacrificing to carry an insurance policy that will help pay for nursing home care when the time comes.   My husband after 20 years with his current employer makes about $10/hr. but he does get health insurance coverage with a deduction from his pay check to partially pay for it, one reason he has stayed with this employer. 

I have been undergoing treatment for cancer for the past year, but it hasn&#039;t destroyed us because we sacrificed to keep the extra insurance.  

We have given up a lot of &quot;extras&quot; in order to carry our insurance, but we don&#039;t owe anyone -- except for our house payment, which we chose to buy within our means.

So, I don&#039;t hear a lot about personal responsibility in these discussions.  However, I do realize there are people who through no fault of their own need help with insurance, and those problems need to be addressed.  We have addressed the needs of the poor through medicaid and schip and I have no problem with that.  But I do have problems with people who have not made health care insurance a priority and who chose wide-screen tvs and fancy houses, swimming pools, etc. instead.  I resent paying taxes to make people more dependent and government bigger just to help those who could help themselves and the illegals.  I see instances in my own relatives who choose to put their money on cable tv and cases of beer and new cars ahead of buying insurance. I have no sympathy for them.

Insurance does need to be more affordable but that can be done in ways that doesn&#039;t incur a government take over and bigger debt.  

When are we going to put more emphasis on personal responsibilty?</description>
		<content:encoded><![CDATA[<p>What I haven&#8217;t heard in all these discussions about health care is personal responsibility.  My parents, barely middle class, saved all their lives for their old age.  They were concerned that an illness would wipe them out so they sacrificed to carry insurance and have a savings account that would pay for anything the insurance didn&#8217;t pay.  They left this world not owing anyone, doctors or hospitals or burial expenses.</p>
<p>After we raised our two children, my husband and I sacrificed to carry that sencond insurance policy.  We didn&#8217;t have fancy vacations or fancy cars.  We never owned a &#8220;new&#8221; car.  The last used car we purchased was a 1992 Geo, which now has 210,000 miles on it.  We are also sacrificing to carry an insurance policy that will help pay for nursing home care when the time comes.   My husband after 20 years with his current employer makes about $10/hr. but he does get health insurance coverage with a deduction from his pay check to partially pay for it, one reason he has stayed with this employer. </p>
<p>I have been undergoing treatment for cancer for the past year, but it hasn&#8217;t destroyed us because we sacrificed to keep the extra insurance.  </p>
<p>We have given up a lot of &#8220;extras&#8221; in order to carry our insurance, but we don&#8217;t owe anyone &#8212; except for our house payment, which we chose to buy within our means.</p>
<p>So, I don&#8217;t hear a lot about personal responsibility in these discussions.  However, I do realize there are people who through no fault of their own need help with insurance, and those problems need to be addressed.  We have addressed the needs of the poor through medicaid and schip and I have no problem with that.  But I do have problems with people who have not made health care insurance a priority and who chose wide-screen tvs and fancy houses, swimming pools, etc. instead.  I resent paying taxes to make people more dependent and government bigger just to help those who could help themselves and the illegals.  I see instances in my own relatives who choose to put their money on cable tv and cases of beer and new cars ahead of buying insurance. I have no sympathy for them.</p>
<p>Insurance does need to be more affordable but that can be done in ways that doesn&#8217;t incur a government take over and bigger debt.  </p>
<p>When are we going to put more emphasis on personal responsibilty?</p>
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		<title>By: arran</title>
		<link>http://www.noquarterusa.net/blog/30667/lets-have-a-nq-town-hall-on-health-care/#comment-1245706</link>
		<dc:creator>arran</dc:creator>
		<pubDate>Thu, 20 Aug 2009 01:13:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30667#comment-1245706</guid>
		<description>France has the best health system.  The other countries who rate in the top 19 are other European countries.  These systems would be called socialized medicine by wing-nuts here which is why few people are discussing the world&#039;s best health delivery systems.  Many of them were begun after WW2.  De Gaulle may have been too generous with France&#039;s provisions which has been causing some problems with continual financing.  

I&#039;d like their plan and I&#039;d like the insurers to be pushed out to the second tier of supplemental plans or continual plans to individuals who want them. I want the government to produce the best plan in the world. If a bill passes, it will be much ado about nothing.</description>
		<content:encoded><![CDATA[<p>France has the best health system.  The other countries who rate in the top 19 are other European countries.  These systems would be called socialized medicine by wing-nuts here which is why few people are discussing the world&#8217;s best health delivery systems.  Many of them were begun after WW2.  De Gaulle may have been too generous with France&#8217;s provisions which has been causing some problems with continual financing.  </p>
<p>I&#8217;d like their plan and I&#8217;d like the insurers to be pushed out to the second tier of supplemental plans or continual plans to individuals who want them. I want the government to produce the best plan in the world. If a bill passes, it will be much ado about nothing.</p>
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		<title>By: Terry</title>
		<link>http://www.noquarterusa.net/blog/30667/lets-have-a-nq-town-hall-on-health-care/#comment-1245674</link>
		<dc:creator>Terry</dc:creator>
		<pubDate>Wed, 19 Aug 2009 23:09:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30667#comment-1245674</guid>
		<description>I LOVE Hillary and know she would have gotten this done right. But this finally reveals why the her own party smeared her and lined up against her. She &#039;did healthcare&#039; once and at that time it didn&#039;t work. This has become the Dem&#039;s Holy Grail issue and they thought Hillary had her chance. Only 0 would be able to bamboozle us into accepting this mess. She was sold out so this loser could have at it and they are determined to have him succeed. Even though they have saddled us with a naive, stammering i d i o t  in the process...</description>
		<content:encoded><![CDATA[<p>I LOVE Hillary and know she would have gotten this done right. But this finally reveals why the her own party smeared her and lined up against her. She &#8216;did healthcare&#8217; once and at that time it didn&#8217;t work. This has become the Dem&#8217;s Holy Grail issue and they thought Hillary had her chance. Only 0 would be able to bamboozle us into accepting this mess. She was sold out so this loser could have at it and they are determined to have him succeed. Even though they have saddled us with a naive, stammering i d i o t  in the process&#8230;</p>
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		<title>By: Mandelay</title>
		<link>http://www.noquarterusa.net/blog/30667/lets-have-a-nq-town-hall-on-health-care/#comment-1245648</link>
		<dc:creator>Mandelay</dc:creator>
		<pubDate>Wed, 19 Aug 2009 21:52:12 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30667#comment-1245648</guid>
		<description>&lt;em&gt;&quot;...The hospitals in the experiment will reward doctors for cutting costs by reducing patient stays, lowering readmission rates and avoiding expensive technology when it&#039;s not needed.  The program is voluntary for doctors, but most at the participating hospitals have signed up. ...&quot;&lt;/em&gt;

http://www.1010wins.com/NJ-Hospitals-Conduct-Major-Cost-Cutting-Experiment/5038719</description>
		<content:encoded><![CDATA[<p><em>&#8220;&#8230;The hospitals in the experiment will reward doctors for cutting costs by reducing patient stays, lowering readmission rates and avoiding expensive technology when it&#8217;s not needed.  The program is voluntary for doctors, but most at the participating hospitals have signed up. &#8230;&#8221;</em></p>
<p><a href="http://www.1010wins.com/NJ-Hospitals-Conduct-Major-Cost-Cutting-Experiment/5038719" rel="nofollow">http://www.1010wins.com/NJ-Hospitals-Conduct-Major-Cost-Cutting-Experiment/5038719</a></p>
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		<title>By: prieur</title>
		<link>http://www.noquarterusa.net/blog/30667/lets-have-a-nq-town-hall-on-health-care/#comment-1245576</link>
		<dc:creator>prieur</dc:creator>
		<pubDate>Wed, 19 Aug 2009 17:49:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30667#comment-1245576</guid>
		<description>The US needs a...US program.
Italy, UK, France, Canada have socialized healthcare and this had evolved with their internal histories.
In the UK they pay taxes and in that tax check the money is dispatched to a few/lot items among them the NHS
in FRANCE the funding is directly taken from your earnings without the HM customs and revenue stop, your boss also pays a part and all goes to the CNAM- caisse nationale d assuranec maladie. IF you cant work/there is the CMU couverure medicale universelle- universal medical cover 100% covered by your IRS and your taxes
at the end 
those who can pay pay their gp/consultant etc and get refunds those who cant show a special pass and the doctor/pharmacist sends the invoice to the state
at the end everyone is covered
it is not cheap
but if you care to look at the results both countries get regarding child health etc not bad

one problem is in the US 47 millions people have no health insurance
nhs and cnam are not great- we all could tell you applaing stories but everyone is covered
yes poor dentistry but less tort lawyers
and more evidence based medicine
certainly despised by big pharma 
but having a yearly scan and mammogram is stupid nmedically wise
as you get radioactive exposure...
which does not mean mammograms are useless
I worked on the mammogram project in europe and we did compare 1 film/2 films 1yr/2 yrs /3ys etec
a long process but at the end we are certain of what we say
in the us too many tetss are run because of fear of tort or because it brings money
I am a doctor I like life pleasures but not at the cost of not being able to look at a mirror and yes I get a good pay

the us needs to tackle a few issues 
but everything starts by a day 1 and a very simple program
between what is the nhs and cnam in 2009 and how it was in 1945 , there is a world
you are all setting your expectations too high
provide already healthcare to every american kid and let it grow
that would be a start</description>
		<content:encoded><![CDATA[<p>The US needs a&#8230;US program.<br />
Italy, UK, France, Canada have socialized healthcare and this had evolved with their internal histories.<br />
In the UK they pay taxes and in that tax check the money is dispatched to a few/lot items among them the NHS<br />
in FRANCE the funding is directly taken from your earnings without the HM customs and revenue stop, your boss also pays a part and all goes to the CNAM- caisse nationale d assuranec maladie. IF you cant work/there is the CMU couverure medicale universelle- universal medical cover 100% covered by your IRS and your taxes<br />
at the end<br />
those who can pay pay their gp/consultant etc and get refunds those who cant show a special pass and the doctor/pharmacist sends the invoice to the state<br />
at the end everyone is covered<br />
it is not cheap<br />
but if you care to look at the results both countries get regarding child health etc not bad</p>
<p>one problem is in the US 47 millions people have no health insurance<br />
nhs and cnam are not great- we all could tell you applaing stories but everyone is covered<br />
yes poor dentistry but less tort lawyers<br />
and more evidence based medicine<br />
certainly despised by big pharma<br />
but having a yearly scan and mammogram is stupid nmedically wise<br />
as you get radioactive exposure&#8230;<br />
which does not mean mammograms are useless<br />
I worked on the mammogram project in europe and we did compare 1 film/2 films 1yr/2 yrs /3ys etec<br />
a long process but at the end we are certain of what we say<br />
in the us too many tetss are run because of fear of tort or because it brings money<br />
I am a doctor I like life pleasures but not at the cost of not being able to look at a mirror and yes I get a good pay</p>
<p>the us needs to tackle a few issues<br />
but everything starts by a day 1 and a very simple program<br />
between what is the nhs and cnam in 2009 and how it was in 1945 , there is a world<br />
you are all setting your expectations too high<br />
provide already healthcare to every american kid and let it grow<br />
that would be a start</p>
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		<title>By: Docelder</title>
		<link>http://www.noquarterusa.net/blog/30667/lets-have-a-nq-town-hall-on-health-care/#comment-1245567</link>
		<dc:creator>Docelder</dc:creator>
		<pubDate>Wed, 19 Aug 2009 17:06:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30667#comment-1245567</guid>
		<description>Yes, insurance has become a sort of pre-paid medical that includes prescriptions and well visits and check ups etc. To not use it having already pre-paid is like buying a plate at the buffet line and not getting anything for yourself. People wind up thinking they might as well go in and might as well get some prescription for whatever... because they have already prepaid for it. Insurance should return to be more of a hedge against a catastrophe.</description>
		<content:encoded><![CDATA[<p>Yes, insurance has become a sort of pre-paid medical that includes prescriptions and well visits and check ups etc. To not use it having already pre-paid is like buying a plate at the buffet line and not getting anything for yourself. People wind up thinking they might as well go in and might as well get some prescription for whatever&#8230; because they have already prepaid for it. Insurance should return to be more of a hedge against a catastrophe.</p>
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		<title>By: Sonic Ninja Kitty</title>
		<link>http://www.noquarterusa.net/blog/30667/lets-have-a-nq-town-hall-on-health-care/#comment-1245564</link>
		<dc:creator>Sonic Ninja Kitty</dc:creator>
		<pubDate>Wed, 19 Aug 2009 16:56:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30667#comment-1245564</guid>
		<description>This is a great question, but how?!?!  Personally, I think it can&#039;t be worked into the system--but would be happy for anyone to prove me wrong.

For example, if we only had one car company providing several models, sure we could choose between the models, but that company would still get bogged down because there is no incentive to make its entire system as lean as possible.  There&#039;s nothing to stop across-the-board waste.

The worry of a better provider catching up and taking some of your business away keeps you as efficient as possible.</description>
		<content:encoded><![CDATA[<p>This is a great question, but how?!?!  Personally, I think it can&#8217;t be worked into the system&#8211;but would be happy for anyone to prove me wrong.</p>
<p>For example, if we only had one car company providing several models, sure we could choose between the models, but that company would still get bogged down because there is no incentive to make its entire system as lean as possible.  There&#8217;s nothing to stop across-the-board waste.</p>
<p>The worry of a better provider catching up and taking some of your business away keeps you as efficient as possible.</p>
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		<title>By: karn9h</title>
		<link>http://www.noquarterusa.net/blog/30667/lets-have-a-nq-town-hall-on-health-care/#comment-1245558</link>
		<dc:creator>karn9h</dc:creator>
		<pubDate>Wed, 19 Aug 2009 16:32:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30667#comment-1245558</guid>
		<description>first my ass.</description>
		<content:encoded><![CDATA[<p>first my ass.</p>
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		<title>By: karn9h</title>
		<link>http://www.noquarterusa.net/blog/30667/lets-have-a-nq-town-hall-on-health-care/#comment-1245555</link>
		<dc:creator>karn9h</dc:creator>
		<pubDate>Wed, 19 Aug 2009 16:19:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30667#comment-1245555</guid>
		<description>I think you mean filibuster-proof.  I don&#039;t think Obama is planning to veto the Dems.  

But more importantly, there are at least a few conservative Dems in the Senate who have not committed to substantial health care reform.  For better and/or worse, Democrats don&#039;t vote with the same discipline that Republicans do.</description>
		<content:encoded><![CDATA[<p>I think you mean filibuster-proof.  I don&#8217;t think Obama is planning to veto the Dems.  </p>
<p>But more importantly, there are at least a few conservative Dems in the Senate who have not committed to substantial health care reform.  For better and/or worse, Democrats don&#8217;t vote with the same discipline that Republicans do.</p>
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		<title>By: alamiss</title>
		<link>http://www.noquarterusa.net/blog/30667/lets-have-a-nq-town-hall-on-health-care/#comment-1245537</link>
		<dc:creator>alamiss</dc:creator>
		<pubDate>Wed, 19 Aug 2009 15:14:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30667#comment-1245537</guid>
		<description>I think that what we probably need is something similar to what we already with some changes.  Perhaps a public/private partnership might work.  Keep the private insurance but have public (universal?) insurance for major costly illnesses such as heart disease or cancer. No one should have to go bankrupt because of a major illness or lose their homes and whatever little money they have saved. Taking all of the ideas that you have mentioned, maybe a public/private direction is the only one that will sell.  Nobody gets everything.  Private insurers lose some profits but gain in not having to pay for the most deadly illnesses.  They can cover surgeries, illnesses that are not deadly, preventive care, childbirth, and the like.  Governmnet gains by not having to do everything and only focus on the most serious illnesses, long-term care, and all care for the seniors  which the private insurers try to avoid covering or limiting coverage.</description>
		<content:encoded><![CDATA[<p>I think that what we probably need is something similar to what we already with some changes.  Perhaps a public/private partnership might work.  Keep the private insurance but have public (universal?) insurance for major costly illnesses such as heart disease or cancer. No one should have to go bankrupt because of a major illness or lose their homes and whatever little money they have saved. Taking all of the ideas that you have mentioned, maybe a public/private direction is the only one that will sell.  Nobody gets everything.  Private insurers lose some profits but gain in not having to pay for the most deadly illnesses.  They can cover surgeries, illnesses that are not deadly, preventive care, childbirth, and the like.  Governmnet gains by not having to do everything and only focus on the most serious illnesses, long-term care, and all care for the seniors  which the private insurers try to avoid covering or limiting coverage.</p>
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		<title>By: lorac</title>
		<link>http://www.noquarterusa.net/blog/30667/lets-have-a-nq-town-hall-on-health-care/#comment-1245526</link>
		<dc:creator>lorac</dc:creator>
		<pubDate>Wed, 19 Aug 2009 14:44:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30667#comment-1245526</guid>
		<description>Oh, those were numbers I used to illustrate the point, I don&#039;t know how much the drugs actually cost!  But I think the point is the same...</description>
		<content:encoded><![CDATA[<p>Oh, those were numbers I used to illustrate the point, I don&#8217;t know how much the drugs actually cost!  But I think the point is the same&#8230;</p>
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		<title>By: Lisa</title>
		<link>http://www.noquarterusa.net/blog/30667/lets-have-a-nq-town-hall-on-health-care/#comment-1245524</link>
		<dc:creator>Lisa</dc:creator>
		<pubDate>Wed, 19 Aug 2009 14:36:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30667#comment-1245524</guid>
		<description>tek, I&#039;m glad that your husband got such good care.  My mother didn&#039;t.  Doctors seem to go an extra mile for those who have supplemental. Medicare does not cover all. Also, may I add that in order to get Medicare you still pay a premium, the cost depends on your income.  I also pay for prescription drug Insurance through the Government.</description>
		<content:encoded><![CDATA[<p>tek, I&#8217;m glad that your husband got such good care.  My mother didn&#8217;t.  Doctors seem to go an extra mile for those who have supplemental. Medicare does not cover all. Also, may I add that in order to get Medicare you still pay a premium, the cost depends on your income.  I also pay for prescription drug Insurance through the Government.</p>
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