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#31 g5jamz

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Posted 08 January 2014 - 02:12 PM

I think the biggest cost saving you see with single payer is a significant drop in ER visits.  When people dont have insurance, they dont go to the doctor with minor issues.  Some of those minor issues go away, some get worse.  Those that get worse eventually go to the emergency room for treatment once the problem because serious, and treating serious medical issues is significantly more expensive than preventing them.

 

EErnt...wrong.  Obama myth. 

 

Study just released last week.

 

http://www.cbsnews.c...m-visits-study/

 


SALEM, Ore. -- A new study has found that people enrolled recently in Medicaid went to the emergency room 40 percent more frequently than others, often seeking help for conditions that could be treated less expensively in a doctor's office or an urgent care clinic. 

 

The research, published Thursday by the journal Science, comes as millions of Americans gain health insurance this week under the federal health care law, many of them through Medicaid.

 

The findings help inform a long-running debate about the effect of expanding Medicaid and suggest that hospitals and health officials around the nation should be prepared for an increase in emergency room trips in the coming months.

The study is the third to arise from a limited expansion of Medicaid in Oregon five years ago. Demand exceeded the available funding, so the state used a lottery to randomly choose people for coverage from a waiting list. The lottery created two groups of similar people, one consisting of new Medicaid patients, the other a comparison group of people who weren't selected. It gave scientists a rare chance to evaluate the program in a randomized, controlled study -- the gold-standard for scientific research.  

 

 Taken together with the earlier findings, the latest research indicates that expanding Medicaid improves mental health and leaves patients more financially stable in the first two years. But it increases spending for hospitals, primary care and prescriptions and doesn't produce significant improvements in measures of physical health like blood pressure or cholesterol.

 

"We've been able to eliminate some extreme views about the program," said Sarah Taubman of the National Bureau of Economic Research, the study's lead author. "In the absence of that evidence, there were some unduly pessimistic views and some unduly optimistic views" about the effects of Medicaid.

Researchers used hospital records to look at ER use over 18 months for 25,000 people in the Portland area who entered the Medicaid lottery, some who were chosen for coverage and some who were not. Patients with Medicaid made, on average, 1.43 ER visits, compared with 1.02 for those who lost the lottery, an increase of 40 percent.

 

 



#32 NanuqoftheNorth

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Posted 08 January 2014 - 02:42 PM

How about young, middle to high income earners, whom rarely if ever need any type of care?
 
What about middle aged, middle to high income earners whom are the larges voting body in the US?
 
I have a major issue with the federal government taking on more responsibility, when they can't even handle the ones that they have.
 
Defense, education, infrastructure....let's try to fix what we are already over our heads on before adding more responsibilities to the village idiot.


Is our nation simply incapable of doing what all these other civilized nations have achieved when it comes to healthcare?

If that is the case, what is wrong with American private industry and government?

How are a bunch of socialist nations schooling us on how to provide cost effective healthcare coverage?

#33 CarolinaCoolin

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Posted 08 January 2014 - 02:45 PM

Is our nation simply incapable of doing what all these other civilized nations have achieved when it comes to healthcare?

If that is the case, what is wrong with American private industry and government?

How are a bunch of socialist nations schooling us on efficient healthcare coverage?



We have a lot more people for one.

#34 thefuzz

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Posted 08 January 2014 - 03:27 PM

Is our nation simply incapable of doing what all these other civilized nations have achieved when it comes to healthcare?

If that is the case, what is wrong with American private industry and government?

How are a bunch of socialist nations schooling us on how to provide cost effective healthcare coverage?

 

 

Yes, I do believe that our government is incapable of being run efficiently, however I am not totally opposed to a single payer system.

 

I think that it's a very poor idea to take on more responsibility when the government can't handle what is already on it's plate.

 

When this government has it's debt, deficit, and unfunded liabilities under control, then I would support a single payer system all day.



#35 thatlookseasy

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Posted 08 January 2014 - 03:38 PM

EErnt...wrong.  Obama myth. 

 

Study just released last week.

 

http://www.cbsnews.c...m-visits-study/

 

So everything you disagree with gets attributed to Obama now?

 

From the study it sounds like people were taking advantage of a system that they never used before. I'd like to see the study done for longer than 18 months monitoring poor people who had just been given health insurance.

 

Regardless, people without insurance are much less likely to have a primary physician than those with insurance, and that plays a big role in receiving proper preventative care



#36 g5jamz

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Posted 08 January 2014 - 04:18 PM

So everything you disagree with gets attributed to Obama now?

 

From the study it sounds like people were taking advantage of a system that they never used before. I'd like to see the study done for longer than 18 months monitoring poor people who had just been given health insurance.

 

Regardless, people without insurance are much less likely to have a primary physician than those with insurance, and that plays a big role in receiving proper preventative care

 

No, but that was one of the chief selling points and excuses of why healthcare costs skyrocket.  It's more of an education level issue that causes people to just saunter into an ER than go to an Urgent care or NP to take care of simpler items. 



#37 pstall

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Posted 08 January 2014 - 06:47 PM

So everything you disagree with gets attributed to Obama now?

From the study it sounds like people were taking advantage of a system that they never used before. I'd like to see the study done for longer than 18 months monitoring poor people who had just been given health insurance.

Regardless, people without insurance are much less likely to have a primary physician than those with insurance, and that plays a big role in receiving proper preventative care


Which is why I have said from day one fix the uninsured part first, then see how the cost controls go from there.
There isn't an ounce of pure for the greater good motives here by DC.

Totally agree a study of the poor and what they use dont use would be good data to have going forward.

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#38 pstall

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Posted 08 January 2014 - 10:20 PM

http://video.cnbc.co...ideo=3000233475

 

Bertha kinda blows up the lowering costs notion in about 15 seconds.

 

 



#39 g5jamz

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Posted 09 January 2014 - 09:11 AM

http://completecolor...-cancellations/

 

Democrats are getting their marching orders...and lie to boot.  Midterms are going to be interesting. 



#40 cookinwithgas

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Posted 09 January 2014 - 09:50 AM

If the Republicans can schedule certain bridge closings on election days it would help their cause

#41 g5jamz

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Posted 09 January 2014 - 10:04 AM

Don't think you'll find anyone coming to Christie's defense on that one. 

 

Who didn't know he was a yankee jack-A.



#42 pstall

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Posted 09 January 2014 - 10:38 AM

The bridge of the river Bengazi.

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#43 g5jamz

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Posted 09 January 2014 - 03:12 PM

What difference does it make



#44 g5jamz

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Posted 09 January 2014 - 04:47 PM

 

Smile...




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