Greenspan Chides Republicans For Pushing To Extend Bush Tax

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psychohist
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10 Nov 2010, 3:06 pm

number5 wrote:
Of course medicare and medicaid have their own share of problems, but let's not put private insurance up on a pedastal either.

Certainly private insurance also has its problems. As you allude to, federal rules that tie it to employment are problematic, and of course outsize malpractice awards drive up private insurance costs just as they do medicare costs. We just haven't discussed those issues much in this thread because they're not really related to the deficit, since private insurance is mostly privately paid for.



Inuyasha
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10 Nov 2010, 3:15 pm

psychohist wrote:
number5 wrote:
Of course medicare and medicaid have their own share of problems, but let's not put private insurance up on a pedastal either.

Certainly private insurance also has its problems. As you allude to, federal rules that tie it to employment are problematic, and of course outsize malpractice awards drive up private insurance costs just as they do medicare costs. We just haven't discussed those issues much in this thread because they're not really related to the deficit, since private insurance is mostly privately paid for.


Also contrary to popular belief, private insurers actually have a very small profit margin compared to most businesses. A lot of their price increases are due to having to pay ridiculous amounts so people can get medical treatment. Doctors have to charge ridiculous amounts so they can pay their liability insurance, which is due to all the frivolous lawsuits.

Anyone ever stop and consider that maybe the insurance company is being forced to pay ridiculous amounts for your doctor visits and that's why they up the amount you have to pay.



marshall
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10 Nov 2010, 3:27 pm

Inuyasha wrote:
psychohist wrote:
number5 wrote:
Of course medicare and medicaid have their own share of problems, but let's not put private insurance up on a pedastal either.

Certainly private insurance also has its problems. As you allude to, federal rules that tie it to employment are problematic, and of course outsize malpractice awards drive up private insurance costs just as they do medicare costs. We just haven't discussed those issues much in this thread because they're not really related to the deficit, since private insurance is mostly privately paid for.


Also contrary to popular belief, private insurers actually have a very small profit margin compared to most businesses. A lot of their price increases are due to having to pay ridiculous amounts so people can get medical treatment. Doctors have to charge ridiculous amounts so they can pay their liability insurance, which is due to all the frivolous lawsuits.

Anyone ever stop and consider that maybe the insurance company is being forced to pay ridiculous amounts for your doctor visits and that's why they up the amount you have to pay.

A massive chunk of it goes to the middle-men, i.e. privately contracted bureaucrats.



Inuyasha
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10 Nov 2010, 3:30 pm

marshall wrote:
Inuyasha wrote:
psychohist wrote:
number5 wrote:
Of course medicare and medicaid have their own share of problems, but let's not put private insurance up on a pedastal either.

Certainly private insurance also has its problems. As you allude to, federal rules that tie it to employment are problematic, and of course outsize malpractice awards drive up private insurance costs just as they do medicare costs. We just haven't discussed those issues much in this thread because they're not really related to the deficit, since private insurance is mostly privately paid for.


Also contrary to popular belief, private insurers actually have a very small profit margin compared to most businesses. A lot of their price increases are due to having to pay ridiculous amounts so people can get medical treatment. Doctors have to charge ridiculous amounts so they can pay their liability insurance, which is due to all the frivolous lawsuits.

Anyone ever stop and consider that maybe the insurance company is being forced to pay ridiculous amounts for your doctor visits and that's why they up the amount you have to pay.

A massive chunk of it goes to the middle-men, i.e. privately contracted bureaucrats.


My point is, the insurance companies are actually getting shafted too.



marshall
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10 Nov 2010, 3:41 pm

Inuyasha wrote:
marshall wrote:
Inuyasha wrote:
psychohist wrote:
number5 wrote:
Of course medicare and medicaid have their own share of problems, but let's not put private insurance up on a pedastal either.

Certainly private insurance also has its problems. As you allude to, federal rules that tie it to employment are problematic, and of course outsize malpractice awards drive up private insurance costs just as they do medicare costs. We just haven't discussed those issues much in this thread because they're not really related to the deficit, since private insurance is mostly privately paid for.


Also contrary to popular belief, private insurers actually have a very small profit margin compared to most businesses. A lot of their price increases are due to having to pay ridiculous amounts so people can get medical treatment. Doctors have to charge ridiculous amounts so they can pay their liability insurance, which is due to all the frivolous lawsuits.

Anyone ever stop and consider that maybe the insurance company is being forced to pay ridiculous amounts for your doctor visits and that's why they up the amount you have to pay.

A massive chunk of it goes to the middle-men, i.e. privately contracted bureaucrats.


My point is, the insurance companies are actually getting shafted too.

And a universal single payer system gets rid of all the complexity and waste in the current system. The problem with the health insurance industry is that the arms race is increasingly going towards paying more and more private bureaucrats and actuarial middle-men to skillfully cherry-pick recipients and treatments. They aren't even trying to expand their coverage base.



Inuyasha
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10 Nov 2010, 3:48 pm

marshall wrote:
Inuyasha wrote:
marshall wrote:
Inuyasha wrote:
psychohist wrote:
number5 wrote:
Of course medicare and medicaid have their own share of problems, but let's not put private insurance up on a pedastal either.

Certainly private insurance also has its problems. As you allude to, federal rules that tie it to employment are problematic, and of course outsize malpractice awards drive up private insurance costs just as they do medicare costs. We just haven't discussed those issues much in this thread because they're not really related to the deficit, since private insurance is mostly privately paid for.


Also contrary to popular belief, private insurers actually have a very small profit margin compared to most businesses. A lot of their price increases are due to having to pay ridiculous amounts so people can get medical treatment. Doctors have to charge ridiculous amounts so they can pay their liability insurance, which is due to all the frivolous lawsuits.

Anyone ever stop and consider that maybe the insurance company is being forced to pay ridiculous amounts for your doctor visits and that's why they up the amount you have to pay.

A massive chunk of it goes to the middle-men, i.e. privately contracted bureaucrats.


My point is, the insurance companies are actually getting shafted too.

And a universal single payer system gets rid of all the complexity and waste in the current system. The problem with the health insurance industry is that the arms race is increasingly going towards paying more and more private bureaucrats and actuarial middle-men to skillfully cherry-pick recipients and treatments. They aren't even trying to expand their coverage base.


The same treatment doesn't work for everyone, sometimes you have to use a different treatment. Also I trust the Government even less than I trust an insurance company with my health. You want waste fraud and abuse, the Government would make the Insurance companies look like Saints.



marshall
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10 Nov 2010, 3:51 pm

Inuyasha wrote:
marshall wrote:
Inuyasha wrote:
marshall wrote:
Inuyasha wrote:
psychohist wrote:
number5 wrote:
Of course medicare and medicaid have their own share of problems, but let's not put private insurance up on a pedastal either.

Certainly private insurance also has its problems. As you allude to, federal rules that tie it to employment are problematic, and of course outsize malpractice awards drive up private insurance costs just as they do medicare costs. We just haven't discussed those issues much in this thread because they're not really related to the deficit, since private insurance is mostly privately paid for.


Also contrary to popular belief, private insurers actually have a very small profit margin compared to most businesses. A lot of their price increases are due to having to pay ridiculous amounts so people can get medical treatment. Doctors have to charge ridiculous amounts so they can pay their liability insurance, which is due to all the frivolous lawsuits.

Anyone ever stop and consider that maybe the insurance company is being forced to pay ridiculous amounts for your doctor visits and that's why they up the amount you have to pay.

A massive chunk of it goes to the middle-men, i.e. privately contracted bureaucrats.


My point is, the insurance companies are actually getting shafted too.

And a universal single payer system gets rid of all the complexity and waste in the current system. The problem with the health insurance industry is that the arms race is increasingly going towards paying more and more private bureaucrats and actuarial middle-men to skillfully cherry-pick recipients and treatments. They aren't even trying to expand their coverage base.

The same treatment doesn't work for everyone, sometimes you have to use a different treatment. Also I trust the Government even less than I trust an insurance company with my health. You want waste fraud and abuse, the Government would make the Insurance companies look like Saints.

Unsubstantiated paranoia doesn't substitute for an actual argument. That's always the fallback of people on the right. Talk about using standard partison talking points.



Inuyasha
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10 Nov 2010, 3:56 pm

marshall wrote:
Inuyasha wrote:
marshall wrote:
Inuyasha wrote:
marshall wrote:
Inuyasha wrote:
psychohist wrote:
number5 wrote:
Of course medicare and medicaid have their own share of problems, but let's not put private insurance up on a pedastal either.

Certainly private insurance also has its problems. As you allude to, federal rules that tie it to employment are problematic, and of course outsize malpractice awards drive up private insurance costs just as they do medicare costs. We just haven't discussed those issues much in this thread because they're not really related to the deficit, since private insurance is mostly privately paid for.


Also contrary to popular belief, private insurers actually have a very small profit margin compared to most businesses. A lot of their price increases are due to having to pay ridiculous amounts so people can get medical treatment. Doctors have to charge ridiculous amounts so they can pay their liability insurance, which is due to all the frivolous lawsuits.

Anyone ever stop and consider that maybe the insurance company is being forced to pay ridiculous amounts for your doctor visits and that's why they up the amount you have to pay.

A massive chunk of it goes to the middle-men, i.e. privately contracted bureaucrats.


My point is, the insurance companies are actually getting shafted too.

And a universal single payer system gets rid of all the complexity and waste in the current system. The problem with the health insurance industry is that the arms race is increasingly going towards paying more and more private bureaucrats and actuarial middle-men to skillfully cherry-pick recipients and treatments. They aren't even trying to expand their coverage base.

The same treatment doesn't work for everyone, sometimes you have to use a different treatment. Also I trust the Government even less than I trust an insurance company with my health. You want waste fraud and abuse, the Government would make the Insurance companies look like Saints.

Unsubstantiated paranoia doesn't substitute for an actual argument. That's always the fallback of people on the right. Talk about using standard partison talking points.


Look at the United States Postal Service and Compare it to Fed Ex or UPS...



skafather84
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10 Nov 2010, 4:07 pm

Inuyasha wrote:
marshall wrote:
Inuyasha wrote:
marshall wrote:
Inuyasha wrote:
marshall wrote:
Inuyasha wrote:
psychohist wrote:
number5 wrote:
Of course medicare and medicaid have their own share of problems, but let's not put private insurance up on a pedastal either.

Certainly private insurance also has its problems. As you allude to, federal rules that tie it to employment are problematic, and of course outsize malpractice awards drive up private insurance costs just as they do medicare costs. We just haven't discussed those issues much in this thread because they're not really related to the deficit, since private insurance is mostly privately paid for.


Also contrary to popular belief, private insurers actually have a very small profit margin compared to most businesses. A lot of their price increases are due to having to pay ridiculous amounts so people can get medical treatment. Doctors have to charge ridiculous amounts so they can pay their liability insurance, which is due to all the frivolous lawsuits.

Anyone ever stop and consider that maybe the insurance company is being forced to pay ridiculous amounts for your doctor visits and that's why they up the amount you have to pay.

A massive chunk of it goes to the middle-men, i.e. privately contracted bureaucrats.


My point is, the insurance companies are actually getting shafted too.

And a universal single payer system gets rid of all the complexity and waste in the current system. The problem with the health insurance industry is that the arms race is increasingly going towards paying more and more private bureaucrats and actuarial middle-men to skillfully cherry-pick recipients and treatments. They aren't even trying to expand their coverage base.

The same treatment doesn't work for everyone, sometimes you have to use a different treatment. Also I trust the Government even less than I trust an insurance company with my health. You want waste fraud and abuse, the Government would make the Insurance companies look like Saints.

Unsubstantiated paranoia doesn't substitute for an actual argument. That's always the fallback of people on the right. Talk about using standard partison talking points.


Look at the United States Postal Service and Compare it to Fed Ex or UPS...


Fed Ex and UPS need access to USPS crafts to achieve their goals. It's more government subsidies that benefit FedEx and UPS over the USPS.


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Inuyasha
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10 Nov 2010, 4:12 pm

skafather84 wrote:
Inuyasha wrote:
marshall wrote:
Inuyasha wrote:
marshall wrote:
Inuyasha wrote:
marshall wrote:
Inuyasha wrote:
psychohist wrote:
number5 wrote:
Of course medicare and medicaid have their own share of problems, but let's not put private insurance up on a pedastal either.

Certainly private insurance also has its problems. As you allude to, federal rules that tie it to employment are problematic, and of course outsize malpractice awards drive up private insurance costs just as they do medicare costs. We just haven't discussed those issues much in this thread because they're not really related to the deficit, since private insurance is mostly privately paid for.


Also contrary to popular belief, private insurers actually have a very small profit margin compared to most businesses. A lot of their price increases are due to having to pay ridiculous amounts so people can get medical treatment. Doctors have to charge ridiculous amounts so they can pay their liability insurance, which is due to all the frivolous lawsuits.

Anyone ever stop and consider that maybe the insurance company is being forced to pay ridiculous amounts for your doctor visits and that's why they up the amount you have to pay.

A massive chunk of it goes to the middle-men, i.e. privately contracted bureaucrats.


My point is, the insurance companies are actually getting shafted too.

And a universal single payer system gets rid of all the complexity and waste in the current system. The problem with the health insurance industry is that the arms race is increasingly going towards paying more and more private bureaucrats and actuarial middle-men to skillfully cherry-pick recipients and treatments. They aren't even trying to expand their coverage base.

The same treatment doesn't work for everyone, sometimes you have to use a different treatment. Also I trust the Government even less than I trust an insurance company with my health. You want waste fraud and abuse, the Government would make the Insurance companies look like Saints.

Unsubstantiated paranoia doesn't substitute for an actual argument. That's always the fallback of people on the right. Talk about using standard partison talking points.


Look at the United States Postal Service and Compare it to Fed Ex or UPS...


Fed Ex and UPS need access to USPS crafts to achieve their goals. It's more government subsidies that benefit FedEx and UPS over the USPS.


Actually, the United States Postal Service is outsourcing to them cause they can't keep up on deliveries. The Postal Service is losing money while Fed Ex and UPS make money.



number5
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10 Nov 2010, 5:47 pm

Inuyasha wrote:
psychohist wrote:
number5 wrote:
Of course medicare and medicaid have their own share of problems, but let's not put private insurance up on a pedastal either.

Certainly private insurance also has its problems. As you allude to, federal rules that tie it to employment are problematic, and of course outsize malpractice awards drive up private insurance costs just as they do medicare costs. We just haven't discussed those issues much in this thread because they're not really related to the deficit, since private insurance is mostly privately paid for.


Also contrary to popular belief, private insurers actually have a very small profit margin compared to most businesses. A lot of their price increases are due to having to pay ridiculous amounts so people can get medical treatment. Doctors have to charge ridiculous amounts so they can pay their liability insurance, which is due to all the frivolous lawsuits.

Anyone ever stop and consider that maybe the insurance company is being forced to pay ridiculous amounts for your doctor visits and that's why they up the amount you have to pay.


Doctors and hospitals have to charge rediculous amounts because for every patient that doesn't pay, they are forced to eat the cost. This is a large part of the reason why the current system is completely unsustainable. Uninsured people cost the system dearly.



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10 Nov 2010, 10:51 pm

psychohist wrote:
Sounds like some would say you were a rich capitalist who got what he deserved, if you had enough to lose in bad investments.


my cat is more of a capitalist than i ever was. what i had was through scrimping, of wearing holey shoes and holey threadbare clothing and driving jalopies and never going out to eat or see movies, etc. the sharpies always will see me as having a giant "SUCKER!! !" sign on my forehead. nowadays, what i have left is managed by OTHER people [NOT me] who know what they are doing [edward jones].

psychohist wrote:
If you can put together words on a computer screen, though, there are growing numbers of jobs that involve interaction primarily with computers rather than humans - medical coding, for example.


my last job [that shrub considered surplus] WAS being a coder [among other jobs]. but government hospitals use a different system not shared with civilian hospitals. i would have had to go back to school, which would have taken more money than i could spare at that time, or now.

psychohist wrote:
So it's all about you? Malpractice insurance now is typically a half of what the doctor actually gets, and most of that goes to line the pockets of shyster lawyers who get outsize hundred million dollar settlements while most people who get bad medical care go begging. Limiting settlements to actual damages would reduce the insurance costs for the vast majority of people, even if it doesn't help you specifically. But in fact, it would also take some of the financial pressure off hospitals, who might find that they can then afford to hire people like you.


it is all about the rich, so it might as well also be "all about me." what's fair is fair. self-preservation applies to a disposable worker like me even more than it does daddy warbucks, 'cause i have no financial wiggle room whatsoever, unlike mr. moneybags who can just shrug off such as pocket change. when a hospital or medical provider hurts somebody, they need to do whatever it takes to make that person as whole as possible given the current medical state of the art, not just stiff-arm them without even an apology, as is the current way of treating the medically wronged here in america. repubs see nothing wrong with this. limiting damages only means the injured parties will never be made whole. ruined finances are only part of the malpractice victim's problems. at the very least, medical providers guilty of malpractice should be willing to take care of ALL of the injured party's medical needs for the rest of that person's life.
in a better country....



auntblabby
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10 Nov 2010, 10:56 pm

skafather84 wrote:
auntblabby wrote:
"useless eaters"


Only a fool believes that idiotic conspiracy.


:?:
what are you talking about? repub types have called me that to my face.



psychohist
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11 Nov 2010, 12:19 am

marshall wrote:
And a universal single payer system gets rid of all the complexity and waste in the current system. The problem with the health insurance industry is that the arms race is increasingly going towards paying more and more private bureaucrats and actuarial middle-men to skillfully cherry-pick recipients and treatments. They aren't even trying to expand their coverage base.

The evidence is against that. From the PDF I linked to earlier:

Quote:
Medicare spending is projected to grow annually by 7.5% between 2008 and 2017 (CMS OACT, 2008), compared to an average annual growth rate of 6.2% for private health insurance spending over the same time period.


Evidently a government run system allows costs to inflate even faster than private insurance does. The speed of increase for both will be higher under Obamacare, of course.

With respect to administrative costs, by the way, actual administrative costs per patient are about the same for medicare and private health insurance; it's a lower percentage for medicare only because the total medicare costs per patient are more than twice as much as that for privately insured patients, probably mostly because the medicare patients are older.



psychohist
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11 Nov 2010, 12:27 am

number5 wrote:
Doctors and hospitals have to charge rediculous amounts because for every patient that doesn't pay, they are forced to eat the cost. This is a large part of the reason why the current system is completely unsustainable. Uninsured people cost the system dearly.

Uncompensated care is part of the reason for high medical costs, but not that large a part. It was only 11.5% in 2005, and the trend was declining.

http://findarticles.com/p/articles/mi_m ... n18744951/



marshall
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11 Nov 2010, 1:30 am

psychohist wrote:
marshall wrote:
And a universal single payer system gets rid of all the complexity and waste in the current system. The problem with the health insurance industry is that the arms race is increasingly going towards paying more and more private bureaucrats and actuarial middle-men to skillfully cherry-pick recipients and treatments. They aren't even trying to expand their coverage base.

The evidence is against that. From the PDF I linked to earlier:

Quote:
Medicare spending is projected to grow annually by 7.5% between 2008 and 2017 (CMS OACT, 2008), compared to an average annual growth rate of 6.2% for private health insurance spending over the same time period.


Evidently a government run system allows costs to inflate even faster than private insurance does. The speed of increase for both will be higher under Obamacare, of course.

How is that an argument against what I said? That projected statistic has nothing to do with efficiency. The projected demographic shift towards more older people explains the quoted discrepancy.

Quote:
With respect to administrative costs, by the way, actual administrative costs per patient are about the same for medicare and private health insurance; it's a lower percentage for medicare only because the total medicare costs per patient are more than twice as much as that for privately insured patients, probably mostly because the medicare patients are older.

I would expect the administrative costs to be higher for people on medicare because the people on medicare are older and less healthy than the people on private insurance. The fact that the private insurance still has a higher percentage despite this says something.