sucking off the teet

[tombogan03884]

F#ck Ryan.
I want to hear a plan from Ben Carson and DOCTORS not a bunch of asshat lawyers.

[MikeBjerum]

F#ck Ryan.
I want to hear a plan from Ben Carson and DOCTORS not a bunch of asshat lawyers.

One of the things Carson campaigned on was true healthcare reform and insurance.  The left hated him, because of his combination of work ethic and personal responsibility in both obtaining and paying for what you get.

[billt]

F#ck Ryan.
I want to hear a plan from Ben Carson and DOCTORS not a bunch of asshat lawyers.

I don't think you will because he is too honest. He, of all people knows it is a economic impossibility to insure everyone. Too much financial sacrifice would have to be made by everyone involved. From medical school tuition, all the way to the cost of X-Ray film. And everything in between. Not to mention complete and total tort reform. And with a House and Senate packed full of lawyers, that will never happen. And even if by some miracle it did, you would then have to get the insurance companies to all agree to lower the cost of malpractice insurance for all of the doctors, hospitals, clinics, and pharmaceutical companies. The dragon has been allowed to grow too large to be slayed. 

[tombogan03884]

Turn it over to the DOD, they have the infrastructure to run it through the reserve system.
Local clinics with a regional "Hospital" for training, and major treatment.

[billt]

The problem is the medical educational system is very tightly self regulated, and has been for decades. Law schools are not. The result is every year we have law schools all over the country practically $h!tting out lawyers. There are far too many of them per capita compared to doctors. Because the medical profession only allows X number of students access to medical school each year. And even if they opened their doors to more students, the higher, longer, more difficult learning curve, along with the high washout rate, combined with long, exhausting internships, would result in far fewer graduates.

You can become a lawyer much easier, quicker, and cheaper than you can become a practicing physician. Add in even a much more expensive, difficult education to become a specialist practicing in all but endless fields of medicine, and few make it through. And if and when they do, they are faced with paying a staggering yearly malpractice insurance premium that most don't earn enough to pay for right out of the starting gate. New doctors pay far more than older, more experienced physicians with a clean track record in the profession. Much like a older driver who hasn't had an accident or a traffic ticket in 20 years, will pay much less than his teenage son who just received his drivers license.

None of this can be solved by passing legislation, let alone turning it over to the government. You can have most any ambulance chaser lawyer out there successfully defend you in a minor civil court matter. But when people are very sick, they want, "the best". And that market is so confined, most of these top tier specialists can charge whatever they want. When you look at everything that is creating all of this, it's all but impossible to "fix". 

[Sponsor]

[Solus]

Ok....I had an idea...and I'm sure there must be  holes in it...and I figure this is a good place to have those  holes pointed out.

The plan is to provide health insurance to those who legitimately (however that is determined) cannot afford it.

We go back to independent insurance companions competing for customers.

We find a ratio of those in an area, county would be best, but by state is more likely feasible. For this example, let us that that there are 1000 folks in the area who can afford insurance and 10 folks who cannot.

So, in that area, an insurance company would have to provide free coverage to one of the 10 folks who cannot afford coverage to be able to accept 100 of those who could afford it.

This would mean the companies are competing for the folks who cannot afford insurance so they will get as decent a plan as the market can bear.   

Then the companies will still have to compete for the 100 folks they can sell insurance with any other companies working in the area...

Now, the cost of the free polices would be paid for by the paying policy holders, but,  hopefully, free competition would minimize costs.

Now, the government involvement would be to provide honest and accurate ratios for what ever area size works best and to strongly enforce anti-monopoly and price fixing....so we have a large stake in the gov. doing a good job here....but it is like that in everything.

Biggest problem I see is getting competition to work.....how does a "new company" get into the insurance business?

[TAB]

The problem is the medical educational system is very tightly self regulated, and has been for decades. Law schools are not. The result is every year we have law schools all over the country practically $h!tting out lawyers. There are far too many of them per capita compared to doctors. Because the medical profession only allows X number of students access to medical school each year. And even if they opened their doors to more students, the higher, longer, more difficult learning curve, along with the high washout rate, combined with long, exhausting internships, would result in far fewer graduates.

You can become a lawyer much easier, quicker, and cheaper than you can become a practicing physician. Add in even a much more expensive, difficult education to become a specialist practicing in all but endless fields of medicine, and few make it through. And if and when they do, they are faced with paying a staggering yearly malpractice insurance premium that most don't earn enough to pay for right out of the starting gate. New doctors pay far more than older, more experienced physicians with a clean track record in the profession. Much like a older driver who hasn't had an accident or a traffic ticket in 20 years, will pay much less than his teenage son who just received his drivers license.

None of this can be solved by passing legislation, let alone turning it over to the government. You can have most any ambulance chaser lawyer out there successfully defend you in a minor civil court matter. But when people are very sick, they want, "the best". And that market is so confined, most of these top tier specialists can charge whatever they want. When you look at everything that is creating all of this, it's all but impossible to "fix".

just like laywers, all it takes too become a doctor is pass the test.  its just a lot harder to have access to said test.    the sad reality is most law schools teach the test and not the law.    For better than 20 years several lawyers have wanted me to take night classes to become a lawyer.   they have all said they would never want to face me in court.   I keep telling them I have to sleep at night.  I am the nicest guy in the world, just don't cross me.  I can be the meanest SOB you will ever come across if you cross that line in the sand.    lets just also mention the fact that I have gotton 4 lawyers suspended/ disbarred.  I DO NOT PUT UP WITH BULL SHIT!


I could make $500k a year, just traveling around sueing people for their ada violations...  there is no way in hell I could sleep at night if I did so.   I still do ADA consulting for historic places and an called as an expert witness in said cases.  Even doing that I will only agree to do so if I believe the party I am being called for is in the right.  I turn down 5x as many cases as I take.   For me to go "to bat" for some one.   They need to be in the "right"   not nessicarly whats legal.   in other words, have you made good faith efforts to fix the prob/ flat out didn't know( not the you should have known better people, but the stuff that odd ball)

[billt]

just like laywers, all it takes too become a doctor is pass the test.  its just a lot harder to have access to said test.

Yes and no. The "test" for doctors is usually a 2 to 7 year residency, depending on the specialty. During which time everything you do is under constant scrutiny by more experienced physicians, who don't, "grade on a curve". The time and stress involved is far greater. In contrast the longest bar exam is administered by the State Of Louisiana. It takes a total of just 21.5 hours. And if you fail you are allowed to take it over as many times as necessary until you pass. If you fail at your residency as a physician, (and many do), your career in medicine is pretty much over before it ever starts.

https://en.wikipedia.org/wiki/Bar_examination

"Louisiana's examination is the longest in the country in terms of examination time, with seven hours on Monday and Wednesday and seven and one half hours on Friday for a total of 21.5 hours of testing." 

[TAB]

it actually depends on the state.

all it takes nation wide is to be "board certified"   some times that is a residency, but in some states its actually a test.  just like CCW some states take other states, others don't.   example a RN in CA is 100% just a test.  no practical exp needed.     


another cert that is a biggy is civil engineers, in most states its pass the test.  some require schooling or working under a CE for X number of years.


whats funny is that all of the CE I have known over the years that got their degree by working under some one for X number of years, where several times better and several times more practical then all of those that went too school.  I worked for a SE frim when I got out of the coasties.   I can not tell you how many of the senior CE/SE were complete idiots, but the guys that worked there and then got their CE/SE  where so "smarter" and actually understood things like costs, easy of construction, and KISS.

[MikeBjerum]

Quote from: TAB on Today at 01:18:55 pm

 

  just like laywers, all it takes too become a doctor is pass the test.  its just a lot harder to have access to said test.

This is a state by state item.  Each state has their own requirements.  In Minnesota you need certain years of education and courses from accredited universities.  You also need to meet some additional requirements.  For a Morticians License in Minnesota you need a Bachelor's Degree from an approved program of core courses, and several hours of continuing education each year.  In some states you do not need to even test, because the license belongs to the business only.

Earlier a comment was made about turning training and oversight over to the military.  Be careful what you wish for!  Remember the Eastern Block Nations?  Government control of everything through the military.  Do you really want more government involvement of the government in our industries?