Michael Moore's - Sicko !!!

Then you are illiterate, as I mentioned several examples already of laws/policies that cause prices to rise by either restricting available supply (AMA control over supply of doctors, licensing of medical schools, etc.) or by artificially increasing demand ('free' service, third party payment, etc.). Now, until you actually name the magical property of health care that makes it immune to market forces I think I'll just chime in to make fun of you.

Cool you just showed some major ignorance. The AMA doesn't control medical licensing. State boards do. State boards are not in any way controlled by the AMA. Congrats. Now go back to your black helicopters.


Once more using current examples to discredit alternatives. You really should learn to think more clearly.

And aparently your alternative is anyone who doesn't have ID in an emergency care unit and immediate means of paying should just die. Cool. Real civilized.


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Quite the opposite, you keep denying the reality of how economies work by claiming health care is immune to the laws of markets.
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You keep on denying problems with your theory by ignoring stuff like the laws of physics. 2 objects cannot exist at the same location at the same time. There is limited real estate and thus limited ability to build new hospitals. This forces a lack of competition. There is literally NO competition when the victim is not conscious. Since you demand people pay upfront to be treated or at least provide proof of ability to pay that means the only people who will be treated are those with both the means AND who are conscious. Someone who isn't conscious isn't going to be proving anything to anyone.

Required by law. What a perfect example of a market failure... :rolleyes:

So you espouse anarchy.


If you understood marginal utility you'd know it's impossible to pass the cost on to others unless they are legally forced to pay. Gee, there's that pesky government again messing things up...

Oh cool so I guess theft of service is cool in your book too. Cus if someone treats you, not paying is called theft of service.

And you're the one ignoring that it's the government denying them that choice, likely so you can propose the government as the solution to the problem the government has created.

Oh yes it was the government. Yeha the government was driving that ambulance. Yeah the government runs that private hospital.

Wrong. NOW they don't have a choice. We are talking about ALTERNATIVES to the current system here, Spike. You might want to clue into that.

Explain your alternative. You have yet to. Please explain it in detail. because honestly all I'm seeing of your "alternative" is let the poor rot in the streets, survival of the fittest. Very civilized.

All systems are elastic unless the government comes in and forces inelasticity for whatever reason, usually to jack up prices in favor of some special interest or another.

Or if stuff like the laws of physics come into play. Or hospitals themselves have the policy of all their EMTs bringing in people and treating them if they are unconscious and are unable to tell the doctor whether or not they need help.

Wow, you're actually catching on.

Which means I've uncovered your real desire. That all poor people should die.

Do I think it's right that people shouldn't be forced to provide services for others? Yup. Sounds perfectly reasonable to me. Your not guaranteed anything but opportunity in this world. If you don't have the forethought to take care of your own medical care and then a problem hits, you just may well be ****ed unless you can find a generous charity. Yes.

Ah yes, the forethought to provide myself with medical care. Like the guy born with diabetes who gets denied health insurance because his pre-existing condition costs too much. Let's just let all diabetics die. Like the kid in the inner city working hard at a corner store barely putting food on the table. Yeah he didn't think ahead and buy some health insurance that costs more per month than he makes in 6. Yeah that dumbass he should have more forethought. What an irresponsible prick.

If you want free medical care for some then stop whining and deal with the problems that come with it, plain and simple. That is where you can't have your cake and eat it too.

Umm no I really can. If we had universal healthcare people would live longer, more people would get the care they need, quality of living would increase, people would have MORE money in their pocket at the end of the month thereby giving them more buying power, and corporations like mine would be making more in profits because they no longer have to shell out for our employees' insurance. All in all, what I'm seeing is a wholesale improvement of not just the economy but just about every aspect of American life.

Oh but wait, I forgot, you don't want that. You want poor people to all die.

You are wrong. Law of demand. Look it up.

Laws of economics tend not to take things like altruism into account. Nor do they take things like ethics into account. You know, ethics. That thing that you completely disregard.

Congratulations. Since of course no such thing is provable on the net I guess we'll just have to rely on the soundness of our arguments. To be blunt you don't know me, I may be richer than Bill Gates for all you know. So how about you support your views and stop flashing your imaginary money around? Yes, I admit, I have the temerity to actually read them things called books to try and get my learn on. Pity me for my arrogance. Wheras you, after earning a 10 figure income come on the internent and with verbal guile and cunning attempt to outwit people on the AM message boards. :rolleyes:

10 figure income are you insane? No 10 figure WORTH. Jeez, man. Not even Oprah makes 10 figures a year ffs. Hell she only hit 10 figures in worth a couple years ago.

Since our system is not private might you point out the private system on which you base this claim?

Well a truly private system means only rich people get treated, **** the poor. If the poor get anything its snake oil and doesn't work. When someone is poor and sick they are desperate and will buy anything whether it works or not. WIthout regulations approving treatments, people will be able to sell anything they want as a "cure". We used to have that before the FDA. It worked REEEEEEEAAAAALLL well. Oh yeah. real well.

Because there is a morass of regulation that is default nationalization of our health care industry, of which apprently everyone is aware but the clueless 10 figure earning bracket.

The deregulation of health insurance providers brought about the formation of HMOs. Until then the healthcare system was actually doing quite well. Because of stiff regulation. My grandfather told me in the 50s and 60s he paid only about $4 a month or less for health insurance and it covered practically everything. After the formation of HMOs is when healthcare quality and healthcare costs skyrocketed.

The decrease in regulation allowed HMOs to more readily deny claims. The initial result was lower costs to HMOs which was passed down to consumers in the form of minor discounts. However the decrease in costs to HMOs was brought about by being able to deny more claims. Every claim which was denied was "eaten" by the hospitals and doctors because most patients couldn't afford the out of pocket expense, especially of more costly procedures. This would have put most out of business in short order. In order to remain afloat they had to increase the cost to all because they knew a percentage wouldn't be paying. Thus the cost of those who didn't pay was shifted onto those who did. This increase in hospital costs resulted in premium increases, and an increase in claim denials. That in turn resulted in more people who didn't pay. The increase in premiums resulted in more uninsured. The drastic increase in those who don't pay further drives up the costs. It's a cycle that keeps repeating.

Your answer is, hospitals should just stop treating anyone who doesn't pay upfront. Seeing as how health insurance companies deny more and more claims each year, they can't rely on insurance. Which means insurance is meaningless. It means, come with a credit card with no limit or come with cash or you don't get service. YEAH! GREAT PLAN!!

Yeah, and I'm in Narnia. No wait, I'm in Middle Earth. Middle Earth is much more fun with the hobbits and all.

Aprently that's where you reside if you think decreasing the regulation even more to healthcare is going to improve things since the decrease in regulation is what got us into this mess in the first place. You know back in the 1800s when we had no regulation at all, we had a fantastic track record. WHat was the life expectancy in the US then? 40?

Whenever someone brings 'the real world' into the arguments it actually means someone has pointed something out about the actual real world they don't like, and must therefore retreat into a coccoon whereby they claim victory in the argument because of their claimed but unprovable success in a completely unrelated field in the narrow purview of their personal sphere of influence. Since you seem to be denying even basic economics like marginal utility you are either an idiot or dellusional. Either way there's not much point in talking to you anymore.

Your the one who brought it up first.
 
Britain is a lousy comparison though. You do realize the US isn't at the top of industrialized nations either for average life span or standard of living, right?


Britain actually ranks above the US in life expectancy according to one source I've found:

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Though I've seen other sources that rank it well below. Depends on the year of course.

like i have said before, life expectancy is a bad indicator of the healthcare system. people die all the time with no interaction with the health care system. for example, you get shot on the street, car accident etc. just becuase there is a correlation between life span and healthcare system doesnt mean that one causes the other, there are other factors involved. It would be better to use statisitcs that you know actually deal with the health care system. for instance, cancer survival statistics.

for example, take colon cancer:

Research published in the European Journal of Cancer found that the overall five-year survival rate for colon cancer in America was 62%. Research published in the European Journal of Cancer found that the overall five-year survival rate for colon cancer in Europe was 43%.

of course these stats would refute moores hypothesis
 
Cool you just showed some major ignorance. The AMA doesn't control medical licensing. State boards do. State boards are not in any way controlled by the AMA. Congrats. Now go back to your black helicopters.


could you please take the time to research what you say before you say it. with google it takes only seconds.

The AMA resticts the supply of medical liscenses by significantly restricting entrance to the profession by restricting the number of approved medical schools in operation and thus the number of students admitted to those approved schools yearly.

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only took seconds to find out.
 
could you please take the time to research what you say before you say it. with google it takes only seconds.

The AMA resticts the supply of medical liscenses by significantly restricting entrance to the profession by restricting the number of approved medical schools in operation and thus the number of students admitted to those approved schools yearly.

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only took seconds to find out.


Oh gimme a break. There's no shortage of medical students nor is there a shortage of medical schools. Besides, because state boards approve medical licenses and not the AMA, you can get a degree in another country if you want and still get approval from the state board of your choice.

No the shortages have to do with booking time. For example, all the local dermatologists book regular appointments only 2-3 months in advance. If you have to cancel an appointment, tough luck you gotta wait another 2-3 months. UNLESS, you're booking an appointment for laser hair removal, botox, or some other cosmetic treatment that isn't covered under any insurance. Why? Because that's guaranteed high profit cash. That's why. That's what deregulation of insurance companies has done. If insurance companies still reliably paid out though, this wouldn't be the case. Fact is doctors are sick of not getting paid.
 
I already said you're not worth a serious response anymore. You are aither willfully or unknowingly ignorant and you are denying even basic reality in many ways with your BS arguments. In addition to Spunkles' links you might want to look up The Flexner Report and the subsequent control over medical licensing by the AMA it lead to. Here's Invalid Link Removed.

Your knowledge of history is nonexistent, you deny even the most basic and universally accepted economic principles like marginal utility exist, and when someone posts evidence of how blatantly and stunningly clueless you are you BS some more.

Oh gimme a break. There's no shortage of medical students nor is there a shortage of medical schools. Besides, because state boards approve medical licenses and not the AMA, you can get a degree in another country if you want and still get approval from the state board of your choice.

No the shortages have to do with booking time.

Guess what? If there were more dermatologists, booking times would be lower. The reason booking times are so long is because there aren't enough ****ing doctors to meet demand. You know, that whole supply and demand thing...

You really are the most insanely clueless person I've seen post.
 
I already said you're not worth a serious response anymore. You are aither willfully or unknowingly ignorant and you are denying even basic reality in many ways with your BS arguments. In addition to Spunkles' links you might want to look up The Flexner Report and the subsequent control over medical licensing by the AMA it lead to. Here's Invalid Link Removed.

Your knowledge of history is nonexistent, you deny even the most basic and universally accepted economic principles like marginal utility exist, and when someone posts evidence of how blatantly and stunningly clueless you are you BS some more.



Guess what? If there were more dermatologists, booking times would be lower. The reason booking times are so long is because there aren't enough ****ing doctors to meet demand. You know, that whole supply and demand thing...

You really are the most insanely clueless person I've seen post.


Really? I have in my area, 30 count them 30 dermatologists within a 20 mile radius. Each one is the same situation. They all have crazy office hours and the only appointments any of them book in a timely manner are cosmetic procedures that are all out of pocket. You want them to look at an actual medical problem, they are suddenly not available for 3 months. You call and say "hey I want some botox" and suddenly they have an opening tomorrow. The fact of the matter is, they don't want to take any patients with rela problems because the possibility of not getting paid is too high and so the profit margins for those visits are too low.

I had a rash my GP said I should see a dermatlogist about last year. I called 16 or 17 of the local dermatlogists and got the same answer on all of them "3 months." I didn't get a decent appointment until I called one back and said "look, I'll pay in cash upfront." They said "there really isn't any available time but we'll call you back if something opens up." Lo and behold, they called back an hour later and said they had a "sudden cancellation" and would be available the next day. Right. Sure. Cost me like $500 for that because they gave me the "non-negotiated" rate, and my insurance company only reimbursed for the negotiated rate minus the copay. i.e. they paid me $60.
 
Oh gimme a break. There's no shortage of medical students nor is there a shortage of medical schools. Besides, because state boards approve medical licenses and not the AMA, you can get a degree in another country if you want and still get approval from the state board of your choice.

No the shortages have to do with booking time. For example, all the local dermatologists book regular appointments only 2-3 months in advance. If you have to cancel an appointment, tough luck you gotta wait another 2-3 months. UNLESS, you're booking an appointment for laser hair removal, botox, or some other cosmetic treatment that isn't covered under any insurance. Why? Because that's guaranteed high profit cash. That's why. That's what deregulation of insurance companies has done. If insurance companies still reliably paid out though, this wouldn't be the case. Fact is doctors are sick of not getting paid.


there are 125 med schools total in the Us. (thats 2.5 per state). there were 39,108 applicants to med school last year, 17,370 got accepted. (thats 44% acceptance rate for ya).

To keep up with expected demand, med schools would have to graduate 22,680 students per year... currently they graduate slightly under 16,000.

the medical degree you receive from medical school today makes you a medical doctor. A state license will only legally permit you to practice. by controlling the number of med schools and accepted applicants, and graduates you control the supply of doctors,

im not saying its right or wrong; its just the way that it currently works.

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That's nice. Please show the me the Ultimate God Calculation method you used to determine the appropriate amount of dermatologists so you could imply that's too many. Especially since given the wait time there's obviously not enough to meet current demand.:rolleyes:

Really? I have in my area, 30 count them 30 dermatologists within a 20 mile radius. Each one is the same situation. They all have crazy office hours and the only appointments any of them book in a timely manner are cosmetic procedures that are all out of pocket. You want them to look at an actual medical problem, they are suddenly not available for 3 months. You call and say "hey I want some botox" and suddenly they have an opening tomorrow. The fact of the matter is, they don't want to take any patients with rela problems because the possibility of not getting paid is too high and so the profit margins for those visits are too low.

I had a rash my GP said I should see a dermatlogist about last year. I called 16 or 17 of the local dermatlogists and got the same answer on all of them "3 months." I didn't get a decent appointment until I called one back and said "look, I'll pay in cash upfront." They said "there really isn't any available time but we'll call you back if something opens up." Lo and behold, they called back an hour later and said they had a "sudden cancellation" and would be available the next day. Right. Sure. Cost me like $500 for that because they gave me the "non-negotiated" rate, and my insurance company only reimbursed for the negotiated rate minus the copay. i.e. they paid me $60.
 
That's nice. Please show the me the Ultimate God Calculation method you used to determine the appropriate amount of dermatologists so you could imply that's too many. Especially since given the wait time there's obviously not enough to meet current demand.:rolleyes:


The wait time is artificial. I've seen their appointment books in person and they only go about a week ahead. Mostly its open. They just don't want to cater to anyone other than those they are sure will pay them well. They can't legally just say "no we won't take you, we don't think you'll pay." So instead they just give the person a ridiculous wait time. Most don't want to wait that long because it is nearly always quite literally pointless. I'd also like to note, the waiting room is empty any time I've gone to any of these offices.

If you have a bacterial infection for example, it's probably going to be gone well beofre the 3 months is up. If it was an allergic reaction it will also have gone before then unless you are getting repeated exposure. The people that DO show up are people with stuff like skin cancer, chronic acne, or other longterm skin problems. And frequently for those unless you offer to pay cash, once again they delay you only for longer. To **** with them I just recently called up an office today to set up an appointment to have the doc "take a look at my skin cancer." next available appointment they said was 6 months from now. Told them forget it. I called back 10 minutes later and said I wanted laser hair removal, they said they had an opening this evening. I asked if the weekend was possible they said "after 11AM or 2PM Saturday".

They don't have a shortage. They are just telling patients to **** off unless they pay cash up front.
 
f you have a bacterial infection for example, it's probably going to be gone well beofre the 3 months is up.

what 3 months? i had a bactierial infection last month. I called to make an appointment at 7:30am and got in at 9:30am the same day.

To **** with them I just recently called up an office today to set up an appointment to have the doc "take a look at my skin cancer." next available appointment they said was 6 months from now. Told them forget it. I called back 10 minutes later and said I wanted laser hair removal, they said they had an opening this evening. I asked if the weekend was possible they said "after 11AM or 2PM Saturday".

and i just did a little thing called research and in your state you dont have to be physician to do the hair removal proceedure. A RN or even LPN can perform the proceedure.

and why would you call a doctors office to mess with them.
If you seriously did that (which i dont believe for a second you did), then you seriously need to get a life.
 
The wait time is artificial.

Not the point. The wait time is what they can and do command from people because enough people want their services to deal with it. Whether it's from a genuine back log of patients or from the fact that they just don't want to deal with the workload the reason is the same: not enough doctors. You can bet your ass as more came on the scene and started competing for the business in the area all of a sudden the wait would decrease and/or disappear. But, because there's a glut of patients relative to doctors the doctors have the upper hand and can pick and choose how and with whom to do business.

There's an analog in another industry: housing. When rent control is enacted there follows almost immediatly a housing shortage. Land lords have long lines of people looking for housing, and so they can pick and choose who they want to let in, make people meet ridiculous standards for entry, be real strict with lease agreements and what not. In other words the total cost of housing, not just the monetary cost, goes up.

A nice case study of this phenomena happened in Jersey were one half of the state, the southern half I believe, discontinued rent controls. All of sudden land lords weren't too strict about pet rules, they were advertising, they were being nice to potential tenants, discriminating less, not making people wait, etc. When there's a shortage and a line of people looking for their service they can do whatever they want. Much like your doctors. If there were more of them, they'd have to start trimming their wait periods because there wouldn't be a line of people looking for them anymore. Just as without rent controls a person looking for housing from Landlord A could just look to Landlord B, C, D, E, or F if A was a prick, so could people go to Doctors B, C, D, E, or F if A's wait was too long.

That's not theory, that's how it works in 'the real world' you're so find of, which is why I mention the case study of Jersey as an example. I think the economist who wrote that one up was Walter Block, or he's at least referenced the work before so it should be enough to look it up if you want to research the issue yourself to see if it's really true.
 
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