Thoughts about Elizabeth Warren's New Health Plan?

[deleted480308]

Its not a death panel. Its the government deciding where its tax dollars are best utilized. 4th line chemotherapy is not a essential service ; by all means patients can have it but the patient / family pays the cost. Maternal / delivery / emergency care services / PCP care on the other hand are guaranteed free.

So you are admitting the very subjective nature of “essential”. Which will be decided by a panel.....as to if your impending death will be attempted to be slowed by a treatment based on the panel’s opinion

Yep, not a death panel at all

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[Nephro critical care]

There is only ‘X’ number of dollars for essential healthcare which comes out of tax payer dollars. The government will decide that these ‘X’ number of dollars will be spent for ‘value for money’ health services like EM / pregnancy. No one will have any copay for these services. If you want a LVAD and heart transplant at age 70 after a lifetime of smoking go knock yourself out but it will come out of your own pocket.

 

[Cornfed101]

Its not a death panel. Its the government deciding where its tax dollars are best utilized. 4th line chemotherapy is not a essential service ; by all means patients can have it but the patient / family pays the cost. Maternal / delivery / emergency care services / PCP care on the other hand are guaranteed free.

I think this is where things will eventually go (maybe 4 years, maybe 50), but it is not quite as simple as you are making it out to be. What is included in "emergency care services"? Tests? Imaging? Labs? This could become very expensive very quickly because we utilize these services more than other countries. We can't just expect to keep our current level of healthcare and expect the government to pay for it. If we want to make things "free" we will have to lower our expectations a lot (or pay so much in taxes that we don't have money for anything else).

 

[Nephro critical care]

I think this is where things will eventually go (maybe 4 years, maybe 50), but it is not quite as simple as you are making it out to be. What is included in "emergency care services"? Tests? Imaging? Labs? This could become very expensive very quickly because we utilize these services more than other countries. We can't just expect to keep our current level of healthcare and expect the government to pay for it. If we want to make things "free" we will have to lower our expectations a lot (or pay so much in taxes that we don't have money for anything else).

ED costs need to be cut down significantly. No more $673 physician copays. Similarly labs/imaging costs to be reined in. Right now there is no incentive to renegotiate these charges. In a M4A model these would be addressed as would be out of network charges. All EDs would have to be in network with M4A. Health care organizations will just have to run leaner just as Walmart and Sams Club do.

 

[findoc]

In socialized medicine, the medical costs of any individual are divided equally across the entire system. It sounds nice in theory, but unfortunately in practice it is not sustainable. Since the individual is not paying, there is no incentive to limit how much care received.

It's basic economics: what happens when demand for care increases but supply remains the same? Mass shortages. Long waiting periods. Costs get out of control, so government lowers reimbursements. The result? Underpaid doctors, nurses, and staff. Tightening financial conditions in hospitals and clinics. So then hospitals find it less worthwhile to invest in new technology and equipment. The result? Seeing lower future demand, firms that innovate find it riskier to develop new technology, so they cut back on R&D. Hence, technological innovation in medicine slows down significantly.

Also, with too much demand for care and only limited supply, government officials inevitably have to step in to dictate who gets care and who doesn't, which hospitals get funding and which do not, who lives and who dies, i.e., death panels.

If you disagree, present your logic to PROVE ME WRONG!

 

[deleted480308]

There is only ‘X’ number of dollars for essential healthcare which comes out of tax payer dollars. The government will decide that these ‘X’ number of dollars will be spent for ‘value for money’ health services like EM / pregnancy. No one will have any copay for these services. If you want a LVAD and heart transplant at age 70 after a lifetime of smoking go knock yourself out but it will come out of your own pocket.

I agree the death panels would happen. I don’t want socialized anything at all as the patient should always have to pay their way. My main argument is the dishonest pushing of “govt will handle it” without openly admitting at some point the govt will tell gramma to prepare for death (which ironically is the reason the socialized medicine proponents hate free market health “but how could you just let people die!”)

Everyone dies. Not everyone can have everything. The free market folks are just willing to admit that earlier

 

[deleted480308]

ED costs need to be cut down significantly. No more $673 physician copays. Similarly labs/imaging costs to be reined in. Right now there is no incentive to renegotiate these charges. In a M4A model these would be addressed as would be out of network charges. All EDs would have to be in network with M4A. Health care organizations will just have to run leaner just as Walmart and Sams Club do.

Aaaah, so we’ll just stop paying the docs and hospitals but require them to keep going because emtala? Yeah, that’s not a good plan

 

[VincentAdultman]

Everyone dies. Not everyone can have everything. The free market folks are just willing to admit that earlier

Speaking of dying I'd love to hear this sentence uttered in a presidential debate once before I do.

 

[deleted927028]

I think this is where things will eventually go (maybe 4 years, maybe 50), but it is not quite as simple as you are making it out to be. What is included in "emergency care services"? Tests? Imaging? Labs? This could become very expensive very quickly because we utilize these services more than other countries. We can't just expect to keep our current level of healthcare and expect the government to pay for it. If we want to make things "free" we will have to lower our expectations a lot (or pay so much in taxes that we don't have money for anything else).

To have a meaningful conversation , first we have to be honest and get our heads out of the sand. Every other major country is proving great quality comprehensive coverage with a fraction of cost. But all of us act and pretend that they don’t exist , we are the only country on the planet and we are too arrogant to learn from others . By 2030, the healthcare cost is expected to overtake the median household income according to Harvard study. Still ever Tom , Dick and Harry spread lies that we can’t afford Medicare for all because we can’t afford it. Bernie has been putting forth his proposals for six years now, that is , 4% tax on employee salary over $30k and 7% employer contribution. IT IS FAR MORE CHEAPER TGAN WHAT EMPLOYEES AND EMPLOYERS NOW AND COPAYS, DEDUCTIBLES, OUTRAGEOUS DRUG COSTS. Still no one wants to get it, acknowledge it , understand it. Every ***** is grilling Bernie at every opportunity ASKING HOW ARE YOU GOING TO PAY , NUMBERS DONT ADD UP ETC. WE ALL JUST LOVE TO BE PATHOLOGICAL LIARS WITH NO INNER CONSCIENCE OR RESPECT FOR TRUTHS AND FACTS.

 

[deleted480308]

To have a meaningful conversation , first we have to be honest and get our heads out of the sand. Every other major country is proving great quality comprehensive coverage with a fraction of cost. But all of us act and pretend that they don’t exist , we are the only country on the planet and we are too arrogant to learn from others . By 2030, the healthcare cost is expected to overtake the median household income according to Harvard study. Still ever Tom , Dick and Harry spread lies that we can’t afford Medicare for all because we can’t afford it. Bernie has been putting forth his proposals for six years now, that is , 4% tax on employee salary over $30k and 7% employer contribution. IT IS FAR MORE CHEAPER TGAN WHAT EMPLOYEES AND EMPLOYERS NOW AND COPAYS, DEDUCTIBLES, OUTRAGEOUS DRUG COSTS. Still no one wants to get it, acknowledge it , understand it. Every ***** is grilling Bernie at every opportunity ASKING HOW ARE YOU GOING TO PAY , NUMBERS DONT ADD UP ETC. WE ALL JUST LOVE TO BE PATHOLOGICAL LIARS WITH NO INNER CONSCIENCE OR RESPECT FOR TRUTHS AND FACTS.

The numbers don’t add up, and that’s even if (and I’m not) one is willing to ignore the violation of freedom and govt overstepping

 

[deleted927028]

In socialized medicine, the medical costs of any individual are divided equally across the entire system. It sounds nice in theory, but unfortunately in practice it is not sustainable. Since the individual is not paying, there is no incentive to limit how much care received.

It's basic economics: what happens when demand for care increases but supply remains the same? Mass shortages. Long waiting periods. Costs get out of control, so government lowers reimbursements. The result? Underpaid doctors, nurses, and staff. Tightening financial conditions in hospitals and clinics. So then hospitals find it less worthwhile to invest in new technology and equipment. The result? Seeing lower future demand, firms that innovate find it riskier to develop new technology, so they cut back on R&D. Hence, technological innovation in medicine slows down significantly.

Also, with too much demand for care and only limited supply, government officials inevitably have to step in to dictate who gets care and who doesn't, which hospitals get funding and which do not, who lives and who dies, i.e., death panels.

If you disagree, present your logic to PROVE ME WRONG!

It is very simple, just learn from other countries. Get your heads out of the sand. We are not the only country on the planet.

 

[deleted927028]

Aaaah, so we’ll just stop paying the docs and hospitals but require them to keep going because emtala? Yeah, that’s not a good plan

HOW MUCH YOU PEOPLE WANT AND HOW MUCH WOULD BE ENOUGH? If you add up all the deductibles, copays and drug costs that we pay, it exceeds the entire premium the other countries pay, they don’t have the non sense of copays, deductibles and drug costs . DO YOU EVER WINDER HOW DO THEY DO IT?

 

[deleted480308]

HOW MUCH YOU PEOPLE WANT AND HOW MUCH WOULD BE ENOUGH? If you add up all the deductibles, copays and drug costs that we pay, it exceeds the entire premium the other countries pay, they don’t have the non sense of copays, deductibles and drug costs . DO YOU EVER WINDER HOW DO THEY DO IT?

They do it with rationing, wage restrictions and trusting us to spend the research dollars. It is not enviable

 

[findoc]

If you're worried about the middle class, they would become significantly poorer because taxes would have to increase.

In other countries, you see exactly what I described. Long waiting periods, poorer quality care, low morale among doctors, etc.

The vast majority of innovation in healthcare takes place in the United States, and other countries leech off of what we accomplish.

 

[Instatewaiter]

. Canadian doctors earn more than US doctors even today. But they spend less than half than us in total.

They don't make more in Canada but they're not paid as poorly as in the UK.

 

[Cornfed101]

To have a meaningful conversation , first we have to be honest and get our heads out of the sand. Every other major country is proving great quality comprehensive coverage with a fraction of cost. But all of us act and pretend that they don’t exist , we are the only country on the planet and we are too arrogant to learn from others . By 2030, the healthcare cost is expected to overtake the median household income according to Harvard study. Still ever Tom , Dick and Harry spread lies that we can’t afford Medicare for all because we can’t afford it. Bernie has been putting forth his proposals for six years now, that is , 4% tax on employee salary over $30k and 7% employer contribution. IT IS FAR MORE CHEAPER TGAN WHAT EMPLOYEES AND EMPLOYERS NOW AND COPAYS, DEDUCTIBLES, OUTRAGEOUS DRUG COSTS. Still no one wants to get it, acknowledge it , understand it. Every ***** is grilling Bernie at every opportunity ASKING HOW ARE YOU GOING TO PAY , NUMBERS DONT ADD UP ETC. WE ALL JUST LOVE TO BE PATHOLOGICAL LIARS WITH NO INNER CONSCIENCE OR RESPECT FOR TRUTHS AND FACTS.

That's fair, but do you not agree that having your head in the clouds is just as bad as having your head in the sand? Here are some reasons why healthcare is expensive in the US and why a system that works in other countries might not work here (not saying it definitely won't).

• Administrative costs - this is often blamed on the complexity of all of the payers that are utilized, but I worked in claims and remittance for Epic (the EMR) and 50-75% of my job was trying to get Medicaid and Medicare to pay claims. Entire teams are dedicated to this at hospitals. If Medicare is the only payer then it would make sense for them to find more loopholes to not pay, not less. Also, if (that's a big if) it becomes more simple do we just fire thousands of billing reps across the country?
• Drug negotiation - other countries allow the govt to negotiate drug prices. Medicare part D specifically excludes this, which highlights one of the underlying problems with MFA and why I don't think it will work in this country. We have a bipartisan duopoly that will not go away any time soon. If the Democrats pass MFA, then the Republicans will have little stipulations like this that will make it cost a ton more than other countries.
• Specialists - we have some of the best-trained doctors in the world. Specialists have more training and cost more.
• Defensive medicine - we are way too sue-happy in this country. This costs a ton in medicine because why order 1 lab when you can order 10 just to rule out everything and protect myself from malpractice!
• Wait times - other countries have notoriously long wait times for healthcare and surgeries. This is inevitable due to increased access without increased supply.

I'm probably missing some, but that's what comes to mind right now. These things will have to be addressed if MFA has any prayer of being implemented. We can't just implement a government system like this without huge changes to how we do things here. I am not completely opposed to what you are saying. I just want to make sure we don't trade our current garbage fire for another one. The underlying problem IMO is our stupid bipartisan system that forces our compromises to be terrible. Whenever we implement something Democrats support then it has exceptions that the Republicans are ok with like no drug negotiation.

 

[findoc]

Whose head is in the sand?

This temptation to get something for nothing is irresistible for so many people, it keeps them from considering alternative viewpoints. How about truthfully acknowledging the CONS of socialized medicine? The statistics contrasting the number and length of illnesses of those who have government health insurance (in G.B. and elsewhere) with those who have private insurance (in the U.S. and elsewhere) provide a clear picture. With shorter wait times, better technology, and more specialists to perform complex life-saving procedures, the U.S. has superior care.

The science of medicine under a (albeit highly regulated) free market system in the United States has given us the best medical service in the world’s history. It has prolonged life in a phenomenal manner. The reason other countries have great care is primarily because of the medical advancements WE have made. Our medical supplies and services are infinitely superior to those in any other country.

Consider this. The functions of medicine are basically twofold: medical practice and research. Patients interact with the profession through the former, but progress requires risky investment by innovators and entrepreneurs, and occurs only through the latter. Socialized medicine would push out entrepreneurs and shift emphasis from research to general upkeep, with the result that over-all medical progress would be significantly diminished. Speaking of other countries with socialized medicine, the British experience proves this point beyond question!

Just like every other industry in our economy, progress in medicine is made by unleashing entrepreneurs and innovators in the private sector. The solution to affordability and accessibility is to give consumers more choice, foster competition among industry participants, get creative with alternative business models, and find new applications of technology. Relinquishing control of medicine to the government is irreversible, intellectually lazy, against economic principles, and anti-personal responsibility.

No system, not even the free economy, can give everyone everything he/she wants immediately on demand. It is dangerous to allow or encourage any government to substitute its judgment for that of its citizens. The left is pushing hard for a more authoritarian government. Socialism grants politicians more power over individuals and families, stifles entrepreneurship and innovation, restricts personal freedoms, and leads to a reduction in average wealth.

 

[Instatewaiter]

To have a meaningful conversation , first we have to be honest and get our heads out of the sand. Every other major country is proving great quality comprehensive coverage with a fraction of cost. But all of us act and pretend that they don’t exist , we are the only country on the planet and we are too arrogant to learn from others . By 2030, the healthcare cost is expected to overtake the median household income according to Harvard study. Still ever Tom , Dick and Harry spread lies that we can’t afford Medicare for all because we can’t afford it. Bernie has been putting forth his proposals for six years now, that is , 4% tax on employee salary over $30k and 7% employer contribution. IT IS FAR MORE CHEAPER TGAN WHAT EMPLOYEES AND EMPLOYERS NOW AND COPAYS, DEDUCTIBLES, OUTRAGEOUS DRUG COSTS. Still no one wants to get it, acknowledge it , understand it. Every ***** is grilling Bernie at every opportunity ASKING HOW ARE YOU GOING TO PAY , NUMBERS DONT ADD UP ETC. WE ALL JUST LOVE TO BE PATHOLOGICAL LIARS WITH NO INNER CONSCIENCE OR RESPECT FOR TRUTHS AND FACTS.

Ummm... So the numbers don't add up no matter how much you capitalize words.

Ignoring the fact that the economy would contract under Sanders, the cost of just Medicare for all is more than his tax bill would pillage from American households. Then add his other crazy ideas.

2.2 trillion for college- good now a major in underwater lesbian dance theory won't seem like such a bad idea- it is free afterall

32 trillion for Medicare for all

1.5 trillion for universal childcare- because why should you pay for the care of your own kids. Why should you think about whether you can take care of kids before you have them. Just make the evil rich pay for it all

16.2 trillion for the green new deal- Basically communism with a different name- eh camrade Bernie

PS that would triple governmental spending.
Expect your taxes to do something similar. So everyone who made the right decisions get penalized. Those who made irresponsible decisions get a windfall. That is a great long-term solution for a society

 

[Nephro critical care]

The British are extremely proud of their NHS. Canadians have a extremely positive opinion of their health system and view US healthcare negatively. The Scandinavians are the happiest people in the world. Guess which is the only first world country where life expectancy is going down ?
Wall Street and The insurance companies love US healthcare. The average American.... not so much.

 

[SurfingDoctor]

 

[deleted480308]

The British are extremely proud of their NHS. Canadians have a extremely positive opinion of their health system and view US healthcare negatively. The Scandinavians are the happiest people in the world. Guess which is the only first world country where life expectancy is going down ?
Wall Street and The insurance companies love US healthcare. The average American.... not so much.

We choose to live like crap, freedom to live on big macs has a price

 

[Cornfed101]

Guess which is the only first world country where life expectancy is going down ?

I think McDonald's carries more of the blame there...

 

[Nephro critical care]

Once MGA gets here (hopefully Jan 2021) Americans will very quickly realize what they have been missing for the last 50 years. No way will anyone then want to go back to the current capitalist healthcare system.
Sometime soon they will also realize that making 1 million versus 150 K does not improve quality of life.

 

[deleted480308]

Once MGA gets here (hopefully Jan 2021) Americans will very quickly realize what they have been missing for the last 50 years. No way will anyone then want to go back to the current capitalist healthcare system.
Sometime soon they will also realize that making 1 million versus 150 K does not improve quality of life.

Now you’re just being silly

 

[Nephro critical care]

Now you’re just being silly

I have yet to meet a European or a Canadian who wants to move to the US because of its healthcare.

 

[deleted480308]

I have yet to meet a European or a Canadian who wants to move to the US because of its healthcare.

But you do meet a ton who want to come here, because we are better. Stop trying to make us like places that people leave to come here

 

[Cornfed101]

I have yet to meet a European or a Canadian who wants to move to the US because of its healthcare.

Maybe not patients, but there are definitely a lot of European and Canadian doctors that work in the states.

 

[AnatomyGrey12]

Maybe not patients, but there are definitely a lot of European and Canadian doctors that work in the states.

Meanwhile that great NHS that's used as the beacon of hope for MFA proponents has caused such a brain drain in the UK that they practically beg foreign doctors to come work there and are currently training mid-levels to do surgery.

 

[Instatewaiter]

The British are extremely proud of their NHS. Canadians have a extremely positive opinion of their health system and view US healthcare negatively. The Scandinavians are the happiest people in the world. Guess which is the only first world country where life expectancy is going down ?
Wall Street and The insurance companies love US healthcare. The average American.... not so much.

So the British very recently fled from somebody almost exactly like Sanders, Corbin from the labor party. Your argument doesn't necessarily hold water. They also fled socialism since the '80s when Margaret Thatcher was elected to do away with the lack of capitalistic economy. What is left is what they have still.

The happiness of the Scandinavians has nothing to do with their health care system.

Life expectancy is actually also going down in Britain. Neither of these drops in life expectancy is related to EITHER healthcare system. Now in the US, if you take away accidents like car accidents and gun violence, our life expectancy is actually one of the highest in the world. Despite our obesity problem. Now that is due to our health care system.

 

[Nephro critical care]

NHS is able to provide universal health care because it is empowered by the British government to negotiate/bargain with pharma companies. NHS pays less than 7 times what we pay for Biologics like Humira.
Now AbbieVie/pharma dosent like that NHS can bargain and in the post Brexit period Trump is trying to take away NHS bargaining power away as part of a trade deal with UK.

 

[Epilepsy365]

I hope that Bernie Sander is ready for a NP to do his next coronary stent.

LOL Can’t force a doctor to work for you. Just walk away and let the entire system explodes in 12 months by working less and having more R&R.

 

[VincentAdultman]

I kind of like universal childcare tbh

 

[Nephro critical care]

In a M4A system doctors would be incentivized for being government employed by getting sovereign immunity caps / malpractice insurance as well as medical school tuition debt repayment. If you don’t want to be government employed by all means be independent but you won't get the malpractice/tuition relief. The government would also bring its own EMR in so that all the doctors in the M4A system would have a centralized EMR.
The M4A health secretary would negotiate with pharmaceutical companies re medication costs and we would bring biosimilars for biologic rheum and chemotherapy meds in quickly.

 

[VA Hopeful Dr]

In a M4A system doctors would be incentivized for being government employed by getting sovereign immunity caps / malpractice insurance as well as medical school tuition debt repayment. If you don’t want to be government employed by all means be independent but you won't get the malpractice/tuition relief. The government would also bring its own EMR in so that all the doctors in the M4A system would have a centralized EMR.
The M4A health secretary would negotiate with pharmaceutical companies re medication costs and we would bring biosimilars for biologic rheum and chemotherapy meds in quickly.

You say all of that like its a certainty.

It is not.

 

[Nephro critical care]

If the coronavirus pandemic spreads further ( 6 deaths already in USA ) we will not be able to wait till Jan 2021 for M4A. Capitalism in healthcare will have to end immediately. Medicine will be a calling not a money making business.

 

[AnatomyGrey12]

The government would also bring its own EMR in so that all the doctors in the M4A system would have a centralized EMR.

EMR's are bad enough, the absolute last thing we need is a really terrible government run EMR.

If the coronavirus pandemic spreads further ( 6 deaths already in USA ) we will not be able to wait till Jan 2021 for M4A. Capitalism in healthcare will have to end immediately. Medicine will be a calling not a money making business.

Lol ok.

 

[SurfingDoctor]

I kind of like universal childcare tbh

Yeah, but kids can’t vote so from a political standpoint... they can stuff it.

 

[Cornfed101]

Yeah, but kids can’t vote so from a political standpoint... they can stuff it.

That logic is exactly why programs like social security will never go away. Old people love to vote lol

 

[SurfingDoctor]

That logic is exactly why programs like social security will never go away. Old people love to vote lol

Yeah, they vote for their stuff, not kids stuff. Kids are just a nuance to them, playing their loud music, and doing drugs and making even smaller kids.

 

[findoc]

In a M4A system doctors would be incentivized for being government employed by getting sovereign immunity caps / malpractice insurance as well as medical school tuition debt repayment. If you don’t want to be government employed by all means be independent but you won't get the malpractice/tuition relief.

I can see the merit of this, but M4A treats the symptom, not the root problem here. It is better solved with medical-related tort reform.

The government would also bring its own EMR in so that all the doctors in the M4A system would have a centralized EMR.

OMG can you imagine a government-designed EMR that doctors are FORCED to use? Haha!
(Wait were you serious?...)

The M4A health secretary would negotiate with pharmaceutical companies re medication costs and we would bring biosimilars for biologic rheum and chemotherapy meds in quickly.

This is just price controls masked as "negotiation". It is not a negotiation when one of the two parties shows up with a gun. And price controls never lead to the desired result.

Just imagine for a second how this impacts a typical pharmaceutical company's R&D decision. The nature of the pharmaceutical industry is that the fixed upfront cost of R&D is tremendous, drugs need to go through many rounds of testing, and sometimes it doesn't even pay off. However, once the drug is complete, the variable cost of an additional pill is very low. Most of pharm R&D is done in the U.S., where companies have access to capital for investment and potential for sales is the highest. The potential for profit drives the R&D. Take away the profit and the R&D goes away.

The pharm industry shouldn't make you angry, countries that enact pharm price controls like Canada should make you angry. We in the U.S. effectively subsidize other socialized medicine countries. Pharm companies have to increase the price of drugs in the U.S. to make up for lost profits outside of the U.S. where there are price controls. You are paying more because they are paying less! That hurts the poorest people here at home.

 

[Nephro critical care]

The EMR does not have to be a sucky one like Allscripts. Using its negotiation power the government could get a nice EMR like Epic for everyone.

I have no problems when a pharma company charges more for a disease curing medication like Harvoni. But I get angry when pharma companies use their connections to extort medicare/ private insurances and increase the costs for all of us. Products that come to mind are Epipen by Mylan, Daraprim by Turing Pharma , Colcrys by Takeda. These pharma companies are not charging appropriately compared to what they spent on R&D.

 

[AnatomyGrey12]

Using its negotiation power the government could get a nice EMR like Epic for everyone.

If you truly believe the government will pony up and get Epic for the entire country then I have a beach front time share in Albuquerque to sell you.

Products that come to mind are Epipen by Mylan,

This has been addressed ad nauseam..... Epipen is so expensive because government patent laws prevent anyone from making a competing delivery system. It's the delivery system, not the drug.

 

[VincentAdultman]

Yeah I’m sure the government wouldn’t just take the Cheapest EMR and force it on docs.

Fortunately I’m already proficient in Meditech.

 

[Cornfed101]

The EMR does not have to be a sucky one like Allscripts. Using its negotiation power the government could get a nice EMR like Epic for everyone.

Epic is good because they pay their employees really well and offer great benefits. I used to work there. Do you really think a government run EMR will have Harry Potter themed buildings and a classically trained culinary staff? No way... that’s a good joke

 

[Instatewaiter]

The EMR does not have to be a sucky one like Allscripts. Using its negotiation power the government could get a nice EMR like Epic for everyone.

Just like they do at the VA... You know the govt run healthcare system we have

I get angry when pharma companies use their connections to extort medicare/ private insurances and increase the costs for all of us. Products that come to mind are Epipen by Mylan, Daraprim by Turing Pharma , Colcrys by Takeda. These pharma companies are not charging appropriately compared to what they spent on R&D.

Make it easier for pharm manufacturers to get into the market and you wouldn't see any of this happen... You know because competition. This only happens when others are prevented from getting into the market by either onerous regulations or medical legal costs...
So more government is probably not the answer but rather less

 

[Lawpy]

Well Warren ended her campaign so the next focus is what Sanders is proposing (assuming he wins the nomination but i doubt it)

 

[Cornfed101]

Well Warren ended her campaign so the next focus is what Sanders is proposing (assuming he wins the nomination but i doubt it)

Do you think Biden will get it?

 

[Lawpy]

Do you think Biden will get it?

Yep

 

[deleted927028]

We choose to live like crap, freedom to live on big macs has a price

People from all those mentioned have all the freedom that we have. Nothing more, nothing less. AMERICA IS NIT THE ONLY FREE COUNTRY IN THE WOTLD. We have to start to learn about the rest of the world a bit.

 

[deleted480308]

People from all those mentioned have all the freedom that we have. Nothing more, nothing less. AMERICA IS NIT THE ONLY FREE COUNTRY IN THE WOTLD. We have to start to learn about the rest of the world a bit.

We are one of the few places in the world that uses our freedom for food in the way we do....I agree we need a cultural change there, we don’t need govt to force anything