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| Allopathic MD student topics. For current medical students. | RSS: |
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#1 |
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Senior Member
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#2 |
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2K Member
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Depends what kind of doctor you are.
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#3 |
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5K+ Member
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I think most doctors have conceded that healthcare is a mess and some form of change needs to happen, and is going to happen. Views are mixed as to whether the current act (no longer a bill) is workable, or whether some other plan would be better for the country. I think the embracing of midlevels under the administrations plan gives a lot if doctors pause.
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#4 | |
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Senior Member
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#5 | |
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Cons ---reimbursements for procedures will be cut, so doctors, especially specialist will be making less. I think that gov spending accounts for about 50% of the business in healthcare given medicare, medicaid/medical. Last I heard it was a 30% cut to medicare reimbursement to docs. ----more team based approach to medicine, which may mean empowerment of mid-level providers. ----higher taxes by 1% on households that make over 200k, which very well might be doctor homes to pay for all this healthcare. ----huge influx of people getting health insurance. General worry about how we are going to provide care for all these people when primary care is already at a shortage. Go ahead and correct me if I'm wrong on any of this, I am certainly not an expert.... Even with these things I still think giving the millions of people access to some type of health plan is worth it.
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Class of 2015 |
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#6 |
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Avatar of Boris
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Personally, I think cutting reimbursement would be a horrible way of healthcare reform. Physician salaries is just not a significant part of the costs, and would honestly be pretty short-sighted (but politically easy).
Really need a long-term solution, such as a better focus on preventative health.
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"If you ask me for an apple and I give you an orange you would say, that's not an orange. And I say, that's a banana. And that's not an apple either. Or a peach, that's not an apple, either. It doesn't mean that I'm equating the banana and the orange and the peach." - Dr Ben Carson, Brainsurgeon. |
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#7 |
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1K Member
Join Date: Dec 2008
Posts: 1,957
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Most docs polarize to one side or the other, they either think the act should be completely thrown out or think that it doesn't do enough (ie. we need universal coverage). I don't think anyone really thinks this act is the optimal solution. Interestingly, I have noticed that this polarization also has strong predictive power for whether docs would encourage someone to enter the field. Those who think the act should be tossed tend to think that medicine isn't a good choice anymore, while those favoring UHC seem to be very optimistic. I take this to mean that both sides of the debate see the writing on the wall and know it will only be a matter of time till we get UHC.
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#8 | |
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Hazelnut Goodness
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#9 |
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Senior Member
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I know no one can predict its impact in the future. I am just interested in hearing opinions from doctors or future doctors.
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#10 |
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Senior Member
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I think the healthcare reform is a step in the right direction, but is by no means optimal. Still it opens up the discussion for further change, real change that we actually need. While we may save some $$ by cutting reimbursements, I believe this is the wrong place to be cutting funds. The reality is that we overspend on inefficient administrative costs and the ordering of unnecessary testing, a byproduct of defensive medicine (which has now become the standard of care and will continue to be so until we have some reform in the courts). Also, the issue of adding so many people into the system is a huge problem during our current PCP shortage and my bet is that midlevels will surely fill in the gaps and primary care docs may take on more of a preceptor role in overseeing clinics. Health care is hinged by access, cost, and quality. If you fix one aspect, in this case giving access to the majority of individuals, then in a finite resource system you can expect costs to increase and/or quality of care to decrease.
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#11 |
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Senior Member
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In the US, in the current system. Health care is both an unalienable right and an inelastic good.
This means that no matter how much money you make, you are entitled to life saving measures. If you show up with a life threatening issue or seemingly so, you are entitled to treatment. You will still be issued a bill. You still owe money for having to use healthcare. Say you are an illegal immigrant and were drunk and assaulted and stabbed in the brain, among other areas. You are now paraplegic. You can not take care of yourself, nor has your family identified you. Welcome to American healthcare.. Likewise, say you present to your PCP for confusion and have focal findings. Say he admits you to the hospital and gets an MRI brain and finds a cerebral abscess. Needless to say we operate to fix it and you don't wake up exactly like you were because you had an infection and associated edema.We treat you inpatient for 2 months. ID signs off Welcome to American healthcare.. Very easy to bankrupt yourself or anyone involved unless you are insured (or even if you are not). Universal healthcare would help in allowing those who currently do not pay, pay; as well as those who currently do pay, pay more. Private health care will not go anywhere, just the government will pick up the tab for the bottom is all. Last edited by neusu; 03-02-2012 at 10:37 AM. |
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#12 | |
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Banned
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Added government intrusion will simply expand bureaucracy, paperwork and generate pseudojobs of useless people, increase costs, lower quality, and reduce patient choice. Forcing small businesses to pay for this will hurt the economy further, but this president doesnt care and has never had a real job and knows nothing. And we're going to force self employed or unemployed to buy their own insurance or else pay a fine. That makes sense. Let's also round up homeless people and put them in jail if they dont have a mortgage payment too. |
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#13 | |
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1K Member
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To say that no respectable doctor wants Obamacare is a bit of a stretch. |
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#14 | ||
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Senior Member
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I agree with the majority of this. What really astounds me is people who continue to press for universal healthcare. "Look at Canada" they say. If I ever want medical equipment from the 1970's, I'll head over there. I recently read an article about the famous MMA fighter, Brock Lesnar and his bout with diverticulitis on a hunting trip in Manitoba, Canada. Here's an excerpt from http://www.mmamania.com/2011/5/26/21...ery-maybe-not: Quote:
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#15 | |
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1K Member
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#16 |
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Senior Member
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Some parts of the healthcare makes no sense at all and it's just politicians playing games to make them look like they are doing something that will help the general population. To the commoners eyes, lowering physician salary by 30% should be pretty helpful in cutting costs, when anyone with a bit of knowledge about it knows that physician salary is a very small part contributing to rising health costs. There are definitely problems with the new healthcare.
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#17 | |
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Senior Member
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2. Just because you say something is inalienable doesn't magically make it true. 3. Health care is an elastic good. There is some inelastic baseline however. 4. Illegal immigrants are not covered under the ACA. 5. The ACA is by no means universal healthcare. It's a patchwork of regulations sewn together, fining people who opt out in order to ensure ~90% of Americans have access to some baseline level of care. What about the other 10%? Those who are illegal immigrants? Those who opt out? Migrants and those who never opt in. 6. Private health care has worked well for a long time, even in Universal Healthcare Systems. But the ACA is still private insurance at it's heart. Don't pretend this is a long lasting fix. Don't pretend the act passed due to the good nature of our elected officials. It's not universal health care and the only reason it passed is it saves over a trillion in future spending. That's a trillion dollars out of health professionals pockets, not that I care about funding but I do want to point that number out. It's health care for the top 90% of Americans. It baffles me that our officials were given the choice between single payer and multi payer w/ private insurance, and somehow, invented their own system: compulsory private insurance for 90% of Americans. I honestly feel we're going to have to readdress the ACA in a few years and decide whether to go single payer or multi payer. But this patchwork of regulations is unsustainable and leaves 10% of people in the dust. |
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#18 |
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Senior Member
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Billions of dollars can by saved by reducing or eliminating medicare fraud.
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#19 | |
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Atypical agent
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Quote:
![]() http://www.washingtontimes.com/news/...ves-very-litt/ |
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#20 | |
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1K Member
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Quote:
http://www.npr.org/2012/02/29/147616...are-fraud-case |
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#21 | |
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Banned
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#22 |
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Senior Member
Join Date: Feb 2011
Posts: 128
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I assume youre referring to Obamacare, which had nothing to do with healthcare reform. Nobody who actually knows what's in that bill considers it healthcare reform.
If anything its an insurance regulation bill. In any case, it will be struck down by the supreme court. If not, our republic is lost. Rome lasted 700 years and we are struggling to make it to 300. |
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#23 | |
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Junior Member
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#24 | |
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Senior Member
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Health Care Reform (Obamacare).
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#25 | |
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is walking down the path.
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Either way, the individual mandate will not make or break the United States. While this law adds extra federal expenses in terms of subsidies to individuals and families buying health insurance, the much larger spending decisions regarding Medicare, Medicaid, Social Security, and defense will ultimately dictate the solvency of the US government. The Affordable Care Act makes some tentative, bashful attempts at cost control for Medicare & Medicaid. However, even if the law stands as written, we'll see very real changes in government in our lifetimes. |
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#26 | |
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Member
Join Date: Oct 2011
Posts: 55
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He is saying, "no doctor I respect..." that is a far cry from no respectable doctor wants obamacare....FACT. |
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#27 |
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Senior Member
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I already called him on it. He actually edited his post, it used to just say "any doctor." He apologized though.
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#28 |
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1K Member
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I don't know any doctors who support it. I only know doctors who've told me not to be a doctor.
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#29 | |
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Senior Member
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Health care is a NOT a right. If it's a right, then I guess doctors are slaves. |
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#30 | |
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Senior Member
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__________________
"Top results are reached only through pain. But eventually you like this pain. You'll find the more difficulties you have on the way, the more you will enjoy your success." Juha Väätäinen |
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#31 | |
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Senior Member
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I just can't relate to these hardass lines of not wanting to see everyone get healthcare. I mean, wtf? So people with colon cancer who can't afford chemotherapy should just crawl into a corner and die? |
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#32 | |
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Senior Member
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#33 | |
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Atypical agent
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#34 | |
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Kickin' it ol' school
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I think what the poster was referring to is the idea that there are aspects of medicine that are considered a right (EMTALA much?) and aspects of medicine that are an inelastic good. If you don't think that doctors are partially required to act in circumstances without pay, think again. If you are on duty and somebody shows up that needs care covered under EMTALA, you ARE GOING TO BE CARING for them. If they can't, or won't pay, you just provided a legally required service for free. It's a basic premise of our society, albeit an evolved one that has come about as time has passed and our ideals have changed.
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Onetyme "Strength does not come from physical capacity. It comes from an indomitable will." —Mahatma Gandhi "Your science should ideally feed the deeper parts of your personality, to provide some intrinsic pleasure to tie you over the inevitable periods of discouragement."-Dr. Tsien "4/10 for life!!!!!"-Onetyme |
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#35 |
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Senior Member
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There are many doctors supporting Obamacare and just as many opposing it. The AMA, for example, supported at least a big part of the bill.
It's weird to hear people going into medicine that think not all people should have health care. In the end, it costs everyone if an uninsured person has to wait 10 years to get treated because his illness has gotten so bad that one of the local hospital has to treat him/her. Universal health care would hopefully prevent many people's diseases from progressing and costing society more in the end. At least this is an argument that I keep hearing in favor of Obamacare. We have to be honest and say that US healthcare sucks in regard to infant mortality . Not sure how all of this can be solved, but a black/white perspective won't help anyone. Unfortunately this is exactly what the US is famous for - a polarizing country where most people either are like "wtf" or "omg iluv".
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"Even if I knew that tomorrow the world would go to pieces, I would still plant my apple tree." - Martin Luther King Jr. MCAT Retake Thread MCAT Study Guide |
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#36 |
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MD c/o 2016
Join Date: Oct 2010
Posts: 1,091
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I don't know any doctors who love treating uninsured patients. Quite the opposite.
I do know plenty of doctors who are sick and tired of bending over backwards to please the useless skimming insurance companies, so in that regard they aren't fans of Obamacare.
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I ☤ New Orleans |
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#37 |
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Sunny California
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Doctors are slaves? Like police officers? Judges? We all have a right to a trial - that doesn't make judges "slaves". Can we please be adults here? You can disagree with healthcare reform without "omg the world will end".
Anyway I don't like parts of it but short of universal health care, I support the individual mandate. I think it's probably 50/50 that it will be struck down. The conservative section of the court has a majority but the justices (including originalists like Scalia) have traditionally given congress wide powers under the commerce clause (reasoning is stare decises for Scalia). Again it's very possible it will be struck down, but I don't see it as a foregone conclusion one way or another. One sure result will be that physician, especially subspecialty, salaries will decline regardless of what happens. You could completely ignore healthcare reform and physician salaries will still drop due to Medicare (and then private insurance which follows Medicare). Long term I don't see any realistic option besides universal health care in 20 years. Regardless of what doctors want or libertarians or whoever else, the momentum just won't allow anyone to do anything but that. |
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#38 |
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Senior Member
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That's semantics dude. Clearly you're not going to be able to pursue happiness if you have colon cancer and are dying because you can't get it treated.
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#39 |
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1K Member
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#40 | |
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Atypical agent
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#41 | |
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Sunny California
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I would consider not starving to death a "right", as well as recieving protection of police, and recieving essential medical care. You may of course disagree. |
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#42 | |
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Senior Member
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By the way, it's the Declaration of Independence and not the Constitution that discusses the "pursuit of happiness." Dumbass. Real easy to talk about how healthcare isn't a right when you yourself have it. Comes with being a privileged white kid I guess. Just to get this straight--all the people with cancer and no health insurance who can't afford the treatments deserve to die? You say they don't deserve healthcare, so let's call it like it is--they deserve to die? Last edited by CaptainSSO; 03-02-2012 at 10:07 PM. |
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#43 | |
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2K Member
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Everyone is going to die, its not avoidable. I dont think the government's purpose is to maximize everyone's lifespan...I could explain why its mathematically impossible to have this type of policy in the next 50-150 years. |
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#44 | |
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Kickin' it ol' school
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I'm not saying it's for everybody, but you have to be out of your gourd if you think that everybody thinks just like you. |
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#45 | |
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Senior Member
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Anyway, what is your mathematical theory? I am more interested in those kinds of arguments, logistical arguments, than I am with the idea that some people don't deserve healthcare. I just think that's a sick idea for people to believe. PRISONERS get access to health care. So you're telling me that the population as a whole doesn't deserve access to health care? Last edited by CaptainSSO; 03-02-2012 at 11:34 PM. |
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#46 | |||
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Senior Member
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"If one does not accept responsibility for his or her actions, there are no consequences for a particular behavior and when translated into the delivery of medical care, that only means increased expenditure. “Rights” are either things you, as a free citizen, may do either without interference (with the implicit caveat that you do no harm to others during the conducting of the specific activity deemed a right) or may not be done to you without permission (such as search and seizure). What is implicit in a right is a protection but not a gift of goods and services created because of the work, sweat, time and capital investment of others. If healthcare is indeed a right, then these healthcare goods must then be seized forcibly, by law or by theft, from others who have provided them in what is a frank violation of their right not to be robbed of their property. This then begs the question of whether the absolute right to healthcare also involves the right to steal from those who produce the goods and services necessary for that care. In a broader sense one must also ask where do one’s rights end? Do they extend to food, or housing or a job?" -Mitchell Brooks |
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#47 | ||||
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Senior Member
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#48 |
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Senior Member
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#49 |
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Senior Member
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Records of edits only appear for edits made after a set period of time. If you edited it quickly (which I thought you had), without someone quoting the original text, there's no way for me to prove it. I'll just take your word for it.
For example, I just edited this post twice. |
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#50 | ||
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Atypical agent
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LOL! Nothing pisses people off like pointing out their absurdity by adding more absurdity.
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There have been times I haven't had insurance for a year or more at a time. I won't argue over my parent's income growing up as you would just deny everything I say. Pointless to go there. Tell me how old I am, by the way, and my income for each year for the past 20 years...I'm waiting. Wow, look at you putting all these words in my mouth, Your jump-to-conclusions mat is getting quite a workout. |
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