Comments on: WORSE THAN I THOUGHT http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/ Cleaning the Augean Stables of the Health Care Debate Wed, 03 Dec 2008 08:00:38 +0000 http://wordpress.org/?v=2.3.3 By: Matt Horn http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-18009 Matt Horn Wed, 16 Jan 2008 18:35:28 +0000 http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-18009 drmatt, congrats! Hope everything goes well for you and your family. drmatt, congrats! Hope everything goes well for you and your family.

]]> By: Catron http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-17775 Catron Wed, 16 Jan 2008 00:33:17 +0000 http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-17775 "I suspect a single payer system would put you out of a job." Nah. If we ever wind up with single-payer, it will be Medicare-for-All, and a good bit of my expertise involves navigating the shoals of Medicare and Medicaid. So, I'll be fine no matter what happens. Believe it or not, I'm genuinely worried about the patients. As each year goes by, CMS edges closer and closer to interfering with actual care. And I think that's a dangerous trend that would be even more prounounced with single-payer. Good luck on the wee bairn. “I suspect a single payer system would put you out of a job.”

Nah. If we ever wind up with single-payer, it will be Medicare-for-All, and a good bit of my expertise involves navigating the shoals of Medicare and Medicaid. So, I’ll be fine no matter what happens.

Believe it or not, I’m genuinely worried about the patients. As each year goes by, CMS edges closer and closer to interfering with actual care. And I think that’s a dangerous trend that would be even more prounounced with single-payer.

Good luck on the wee bairn.

]]> By: drmatt http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-17684 drmatt Tue, 15 Jan 2008 19:55:01 +0000 http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-17684 PS, my girlfriend is due to give birth to my first boy anyday now, so if I suddenly disappear and stop annoying you for a while, you will know why. wish me luck. PS, my girlfriend is due to give birth to my first boy anyday now, so if I suddenly disappear and stop annoying you for a while, you will know why. wish me luck.

]]> By: drmatt http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-17680 drmatt Tue, 15 Jan 2008 19:41:08 +0000 http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-17680 Actually, you also offer surveys, studies etc. that support your point and purport them to be gold standard fact. Of course single payer is open to doubt, there is no such thing as a perfect system, it doesn't and wont happen. Who is "you guys"? I am just a person, I represent no political affilliation, I have no financial gain to be had whether we have changes or no changes in the system. You on the other hand work in hospital finance, I suspect a single payer system would put you out of a job. What's the matter David, haven't you planned for your retirement? Actually, you also offer surveys, studies etc. that support your point and purport them to be gold standard fact. Of course single payer is open to doubt, there is no such thing as a perfect system, it doesn’t and wont happen. Who is “you guys”? I am just a person, I represent no political affilliation, I have no financial gain to be had whether we have changes or no changes in the system. You on the other hand work in hospital finance, I suspect a single payer system would put you out of a job. What’s the matter David, haven’t you planned for your retirement?

]]> By: Catron http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-17660 Catron Tue, 15 Jan 2008 18:29:14 +0000 http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-17660 "The data is (sic) no more suspect than the data you often post and sadly propogate to support your claims." Even if that were true, it misses the point. I offer various surveys, studies, etc. merely to show that the claims of single-payer advocates are open to doubt. You guys, on the other hand, use surveys, studies, etc. to justify a "redo" of the whole medical delivery system. Thus, your side has a higher credibility bar to get over. Your data have to be like Caesar's wife---above reproach. And they're not. “The data is (sic) no more suspect than the data you often post and sadly propogate to support your claims.”

Even if that were true, it misses the point.

I offer various surveys, studies, etc. merely to show that the claims of single-payer advocates are open to doubt.

You guys, on the other hand, use surveys, studies, etc. to justify a “redo” of the whole medical delivery system.

Thus, your side has a higher credibility bar to get over. Your data have to be like Caesar’s wife—above reproach.

And they’re not.

]]> By: drmatt http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-17621 drmatt Tue, 15 Jan 2008 15:41:00 +0000 http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-17621 The data is no more suspect than the data you often post and sadly propogate to support your claims. 1. There is no such thing as un-flawed data, also, what motive does the WHO have to not collect the best data available? 2 How do you figure it was cheri picked? they simply chose categories that were "most likely" to support treatable causes of death Your links dont make sense? the first one says mortality dropped in the hospitals over a decade? considering the advances in medical technology it had better, and I am sure it has in all civilized nations, the second link is an article, might as well post a link to the readers digest. And the third one, look at how close the death rates are for the top 10-15 countries? this does NOT reach a statistically significant difference, which means despite double to triple the spending rate we are doing no better. The data is no more suspect than the data you often post and sadly propogate to support your claims.
1. There is no such thing as un-flawed data, also, what motive does the WHO have to not collect the best data available?
2 How do you figure it was cheri picked? they simply chose categories that were “most likely” to support treatable causes of death

Your links dont make sense? the first one says mortality dropped in the hospitals over a decade? considering the advances in medical technology it had better, and I am sure it has in all civilized nations, the second link is an article, might as well post a link to the readers digest. And the third one, look at how close the death rates are for the top 10-15 countries? this does NOT reach a statistically significant difference, which means despite double to triple the spending rate we are doing no better.

]]> By: Catron http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-17602 Catron Tue, 15 Jan 2008 14:48:34 +0000 http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-17602 Sigh … How do you suppose I got the information I discuss in my original post on the subject? Sigh … How do you suppose I got the information I discuss in my original post on the subject?

]]> By: Marc Brown http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-17556 Marc Brown Tue, 15 Jan 2008 12:22:40 +0000 http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-17556 Have you read the study? If not, you can't really comment I would respectfully suggest. Have you read the study? If not, you can’t really comment I would respectfully suggest.

]]> By: Catron http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-17555 Catron Tue, 15 Jan 2008 12:20:12 +0000 http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-17555 What I "don't accept" is that this study tells us what it claims to tell us. The quality of the data and the study's slipshod construction disqualify it as a serious piece of analysis. What I “don’t accept” is that this study tells us what it claims to tell us. The quality of the data and the study’s slipshod construction disqualify it as a serious piece of analysis.

]]> By: Marc Brown http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-17513 Marc Brown Tue, 15 Jan 2008 08:44:23 +0000 http://www.healthcarebs.com/2008/01/13/worse-than-i-thought/#comment-17513 So - I take it you don't accept there are higher mortality rates in relatively low ages in the US from the selected conditions - is that right? So - I take it you don’t accept there are higher mortality rates in relatively low ages in the US from the selected conditions - is that right?

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