Luxury medicine

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I agree with the Viagra totally. As for Private room. After dealing with women in my own family. I think private room should be case by case basis. I know for a fact lack of privacy could kill my own mother.
Ok, I’ curious, how could lack of privacy possibly kill someone?
 
Funny, for a while I thought you were serious.
Actually stress does cause bllod pressure to sky rocket. I had a toothache that was causing me great pain and it made my bp go to 179/119 despite being on blood pressure meds. The next day the pain was gone my bp was back down to 138/90. I was dead serious.
 
Actually stress does cause bllod pressure to sky rocket. I had a toothache that was causing me great pain and it made my bp go to 179/119 despite being on blood pressure meds. The next day the pain was gone my bp was back down to 138/90. I was dead serious.
Heard of asprin?

That still does not sound like reasonable rationale to make others pay for private rooms.
 
Heard of asprin?

That still does not sound like reasonable rationale to make others pay for private rooms.
Actually I had Motrin 800, and 1000 mg of tylenol and I was still in pain. In comparison to whole system at large private rooms would be a drop in the bucket. I don’t concern my self with drops in buckets. There is no such thing as a person that is both dollarwise and penny smart. I choose to be dollar wise. Pennys, they don’t make difference.
 
Heard of asprin?

That still does not sound like reasonable rationale to make others pay for private rooms.
Actually I had Motrin 800, and 1000 mg of tylenol and I was still in pain. In comparison to whole system at large private rooms would be a drop in the bucket. I don’t concern my self with drops in buckets. There is no such thing as a person that is both dollarwise and penny smart. I choose to be dollar wise. Pennys, they don’t make difference.
Aspirin lowers blood pressure. So someone wouldn’t need a private room, just a couple of aspirin.

It is easy not to be concerned with “drops in the bucket” when you aren’t paying for the drops or the bucket. The question is, would you be willing to pay extra for insurance that covered private rooms?
 
Aspirin lowers blood pressure. So someone wouldn’t need a private room, just a couple of aspirin.

It is easy not to be concerned with “drops in the bucket” when you aren’t paying for the drops or the bucket. The question is, would you be willing to pay extra for insurance that covered private rooms?
Did you see the poster from despair.com with the drops where it says no single drop believes it is responsible for the flood.

The other aspect is should people be allowed to get insurance coverage that does not cover “luxury” items if they can get if for a lower cost.
 
I’m guessing maybe it would be better to have a conference between medical professionals and those who understand budgets and economics to get together and figure out best practices than trying to have those who do not have a good idea about what is both or either medically effective and/or cost effective.
 
I’m guessing maybe it would be better to have a conference between medical professionals and those who understand budgets and economics to get together and figure out best practices than trying to have those who do not have a good idea about what is both or either medically effective and/or cost effective.
THis is pretty much what happens when you have publicly funded medicine. There are committees whose job it is to make recommendations on what should be covered and what not. Questions like medical necessity, and best practice, are important. They review new treatments, drugs etc as they come out and make decisions about them. Occasionally there is controversy about the decisions, and then they are occasionally reversed.

This is also what happens at insurance companies, but profit margins become an important factor then, and of course the process is not public.
 
I’m guessing maybe it would be better to have a conference between medical professionals and those who understand budgets and economics to get together and figure out best practices than trying to have those who do not have a good idea about what is both or either medically effective and/or cost effective.
But I am the worlds leading expert on my budget. So I have every right to talk about how my money is spent. I also am the worlds leading expert on my heath situation so I am qualified to tlak about that. As is every other tax paying American.

However if you are propossing that an elite few have unquestioned authority to control the lives of others because of some intelectual threshold, why not ban all who have not completed college or have double digit IQs from voting?
 
THis is pretty much what happens when you have publicly funded medicine. There are committees whose job it is to make recommendations on what should be covered and what not. Questions like medical necessity, and best practice, are important. They review new treatments, drugs etc as they come out and make decisions about them. Occasionally there is controversy about the decisions, and then they are occasionally reversed.

This is also what happens at insurance companies, but profit margins become an important factor then, and of course the process is not public.
But up to now medicine was a private issue between you, your doctor and in some cases your insurace company. However we are on the verge of ending private medicine in America. So questions about what should and should not be treated or covered will no longer private matters. Up to this point I had absolutely no interest in people receiving luxury treatments and accomodations in medicine because I wasn’t paying for it. Now that we are on the verge of these matters being a matter of public interest we need to start having serious discussion as to what as a society will and will not be forced to pay for. I’d rather that decision be made solely by corupt politicians and former doctors who are receiving kick backs.
 
But up to now medicine was a private issue between you, your doctor and in some cases your insurace company. However we are on the verge of ending private medicine in America. So questions about what should and should not be treated or covered will no longer private matters. Up to this point I had absolutely no interest in people receiving luxury treatments and accomodations in medicine because I wasn’t paying for it. Now that we are on the verge of these matters being a matter of public interest we need to start having serious discussion as to what as a society will and will not be forced to pay for. I’d rather that decision be made solely by corupt politicians and former doctors who are receiving kick backs.
Well, actiually, I’ve never lived in a primarily private system - we have had publicly funded health care here since my parents were children.

There are occasionally items that some people think should not be paid for - more often someone complains that something should be covered which is not. But your idea of it being some kind of terrible corrupt system just isn’t the case, people making the decisions take it seriously and the public is pretty vocal when they don’t agree. People get pretty excited about their health care.

You know though, that for many Americans, health care was not between the groups you describe. Very often it is between insurance companies and employers, and consumers have to fight to get information on what is covered, or to get companies to pay for what they are supposed to, for doctors to take their insurance or insurance to cover the doctors of their choice. I am always a bit blown away when my American friends are spending huge amounts of time and energy trying to decipher what their insurance covers
 
But I am the worlds leading expert on my budget. So I have every right to talk about how my money is spent. I also am the worlds leading expert on my heath situation so I am qualified to tlak about that. As is every other tax paying American.

However if you are propossing that an elite few have unquestioned authority to control the lives of others because of some intelectual threshold, why not ban all who have not completed college or have double digit IQs from voting?
Why have those elite doctors? China’s tried that before and it didn’t work too well. How much clinical experience do you have in knowing what types of techniques called for or may end up leading to a worse condition such as death? They may not have unquestionable authority, but they do have an idea about how to place in context health situations and what interventions should be and should not be called for.
 
Well, actiually, I’ve never lived in a primarily private system - we have had publicly funded health care here since my parents were children.

There are occasionally items that some people think should not be paid for - more often someone complains that something should be covered which is not. But your idea of it being some kind of terrible corrupt system just isn’t the case, people making the decisions take it seriously and the public is pretty vocal when they don’t agree. People get pretty excited about their health care.

You know though, that for many Americans, health care was not between the groups you describe. Very often it is between insurance companies and employers, and consumers have to fight to get information on what is covered, or to get companies to pay for what they are supposed to, for doctors to take their insurance or insurance to cover the doctors of their choice. I am always a bit blown away when my American friends are spending huge amounts of time and energy trying to decipher what their insurance covers
Americans who wanted socialized health care have always had the option to move to socialist countries. Up till now those in the socialist countries had the option of coming to America where there was free market health care. With that choice quickly fading, We need to ahve some serious discussions about what we will be forced to have as part of our government mandated programs.
 
Why have those elite doctors? China’s tried that before and it didn’t work too well. How much clinical experience do you have in knowing what types of techniques called for or may end up leading to a worse condition such as death? They may not have unquestionable authority, but they do have an idea about how to place in context health situations and what interventions should be and should not be called for.
All of those doctors think their specialty can offer the treatment that is necesary but all they can do is make recomendations with a probability of success and a price. They can not weigh the value of an outcome with the risk against the cost.
 
All of those doctors think their specialty can offer the treatment that is necesary but all they can do is make recomendations with a probability of success and a price. They can not weigh the value of an outcome with the risk against the cost.
Well there you go, you don’t exactly know the probability of success for every given situation. It seems you want to sit and start your own best practices without actually knowing all the situations. You place a certain procedure and say, “is this luxury medicine or not?” Well in some contexts it may be, others it may not be. In some cases it may kill innovation well worth cost, and others cases it won’t.

I would say they are just like you, they can probably weigh the value of an outcome with the risk against the cost. All their years of education and clinical experience doesn’t reduce that capacity to do a cost vs. benefit analysis to figure out value. Now on the other hand if want to say they ought not be the only people that make that decision, I would agree. They do need their checks to balance out what may be optimum. There is no need to be so intellectually arrogant, they do have a special knowledge of the situation, along with those people who study the economics of health care. That is not to say though, that they are the ultimate authority, it should ahve its limits.
 
Well there you go, you don’t exactly know the probability of success for every given situation. It seems you want to sit and start your own best practices without actually knowing all the situations. You place a certain procedure and say, “is this luxury medicine or not?” Well in some contexts it may be, others it may not be. In some cases it may kill innovation well worth cost, and others cases it won’t.

I would say they are just like you, they can probably weigh the value of an outcome with the risk against the cost. All their years of education and clinical experience doesn’t reduce that capacity to do a cost vs. benefit analysis to figure out value. Now on the other hand if want to say they ought not be the only people that make that decision, I would agree. They do need their checks to balance out what may be optimum. There is no need to be so intellectually arrogant, they do have a special knowledge of the situation, along with those people who study the economics of health care. That is not to say though, that they are the ultimate authority, it should ahve its limits.
So they can calculate what my values are?

I am not advocating some universal calculation based on what some politicians deem proper. I advocate giving individuals the choice. But there are a few people want to take away those choices saying that certain treatments are absolute universal necesities such as stopping bleeding. On the other end of the spectrum we have things like nose jobs. Both are on the same medical spectrum. But typically when people are given a blank check they abuse it. Now the question is where is the line between absolute necesity and things that should be reserved for individual choice.
 
So they can calculate what my values are?

I am not advocating some universal calculation based on what some politicians deem proper. I advocate giving individuals the choice. But there are a few people want to take away those choices saying that certain treatments are absolute universal necesities such as stopping bleeding. On the other end of the spectrum we have things like nose jobs. Both are on the same medical spectrum. But typically when people are given a blank check they abuse it. Now the question is where is the line between absolute necesity and things that should be reserved for individual choice.
Ahh,I see what you getting at now. Unfortunatly that is one thing I don’t like about universal health care, it can kill the competition between plans, which can serve to set an equalibrium for that type of decision.

I guess, I would say is that there is probably not so much a line as there is a sizable grey area. Then the line will be drawn due to cost and preferences. Unfortunatly I think if turns into one major health care plan, it will be draw by lobby groups. At least with the current insurance people usually can indirectly influence it. (Since the employer will have to guage what their employees want, the employees, I would say, get an indirect influence.)
 
Ahh,I see what you getting at now. Unfortunatly that is one thing I don’t like about universal health care, it can kill the competition between plans, which can serve to set an equalibrium for that type of decision.

I guess, I would say is that there is probably not so much a line as there is a sizable grey area. Then the line will be drawn due to cost and preferences. Unfortunatly I think if turns into one major health care plan, it will be draw by lobby groups. At least with the current insurance people usually can indirectly influence it. (Since the employer will have to guage what their employees want, the employees, I would say, get an indirect influence.)
It is that grey area where we really need to put some thought to keep things from getting even further out of hand.
 
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