Follow along with the video below to see how to install our site as a web app on your home screen.
Note: This feature may not be available in some browsers.
Government already deals with health care with VA and Medicare and other social programs.
Running up deficits in the process...please be thorough in you posts about this.
So you must think insurance companies run at a loss. Every American would contribute as they do now to insurance companies. The government would be the insurer. With a larger pool instead of just those in the highest risk groups there would be more funds. But since you believe obviously that insurance companies run at a loss you may be correct.
Like Oddball a lot of talk and zero substance.I hope you trust NPR.
Nearly all hospital-based doctors are salaried, and those salaries are part of hospital budgets that are negotiated each year between hospitals and "sickness funds" the 240 nonprofit insurance companies that cover nearly nine out of 10 Germans through their jobs. (About 10 percent, who are generally higher income, opt out of the main system to buy insurance from for-profit companies. A small fraction get tax-subsidized care.)
Office-based doctors in Germany operate much like U.S. physicians do. They're private entrepreneurs who get a fee from insurers for every visit and every procedure they perform. The big difference is that groups of office-based physicians in every region negotiate with insurers to arrive at collective annual budgets.
Those doctor budgets get divided into quarterly amounts a limited pot of money for each region. Once doctors collectively use up that money, that's it there's no more until the next quarter.
It's a powerful incentive for doctors to exercise restraint not to provide more care than is necessary. But often, the pot of money is exhausted before the end of the quarter.That's why Leibl is chronically angry.
"I don't get paid at the moment," he said recently, near the end of a quarter. "I haven't been paid for what I'm doing for the last two or three weeks."
He has to wait until the beginning of the next quarter before the sickness funds will start paying the bills he submits. Some German doctors simply close their doors and take a vacation at the end of every quarter.
Keeping German Doctors On A Budget Lowers Costs : NPR
Thank you for the article. I am not saying this is the answer to their current difficulty but perhaps when the new contract was made there was little foresight used in expanding the costs. After the next budget negotiations on medical we will see if the problem still exists. I doubt that it will.
All they need to do is double down on more government "revenue"...that will resolve the problem.
See how this works with healthcare?
I knew we'd get there eventually.The top two percent that don't need to pay a few more dollars in taxes have $4500 in the bank and then some. They have your $4500 as well.
Really?
So it's more about government ideology than it is about healthcare for the people...isn't it?
That's the same view as the politicians. No credibility on your behalf...too bad
He asked who had the money. Do you think the top two percent don't have the money in their bank account?
Please don't insult all of us about credibility. I asked for a link and you provide a quip from NPR that tells us nothing about what actually happened to the German system and you talk about credibility. LOL not this is funny. That would be like me posting a link to Bill Maher talking about the cause of inflation.
Piss off.Like Oddball a lot of talk and zero substance.Thank you for the article. I am not saying this is the answer to their current difficulty but perhaps when the new contract was made there was little foresight used in expanding the costs. After the next budget negotiations on medical we will see if the problem still exists. I doubt that it will.
All they need to do is double down on more government "revenue"...that will resolve the problem.
See how this works with healthcare?
Maybe you would do well to move the hell to Europe, if you think that their cradle-to-grave moocher state is such great shakes.Ooopsie!
Oooopie what. I asked for a link he provided one. It explains a situation. It does not cover the causes and the remedies. Do you have any idea how those costa and expenses are negotiated. Medical care is contracted. If in fact the number was made to low after the life of the contract this can happen. It happened in Sweden years ago and was quickly corrected in the next contract. Maybe you would do well to learn something about the workings of the world before you decide to chuckle. A German article or information would be better but at least he provided a picture of what has happened.
You socialist mewlers remind me of people who moved into Steamboat because it was different from Vail and Aspen, then spend the rest of their time there trying to make it more like Vail and Aspen.
You do realize that our ancestors left Europe, with little more than they could carry onto the ship, for some very compelling reasons, don't you?
If you have a home in Europe, go live there and leave the rest of us the fuck alone.Maybe you would do well to move the hell to Europe, if you think that their cradle-to-grave moocher state is such great shakes.Oooopie what. I asked for a link he provided one. It explains a situation. It does not cover the causes and the remedies. Do you have any idea how those costa and expenses are negotiated. Medical care is contracted. If in fact the number was made to low after the life of the contract this can happen. It happened in Sweden years ago and was quickly corrected in the next contract. Maybe you would do well to learn something about the workings of the world before you decide to chuckle. A German article or information would be better but at least he provided a picture of what has happened.
You socialist mewlers remind me of people who moved into Steamboat because it was different from Vail and Aspen, then spend the rest of their time there trying to make it more like Vail and Aspen.
You do realize that our ancestors left Europe, with little more than they could carry onto the ship, for some very compelling reasons, don't you?
Did I say that I didn't have a home in Europe? See when you tell someone to move you have nothing to debate about as you seem to know very little.
The top two percent that don't need to pay a few more dollars in taxes have $4500 in the bank and then some. They have your $4500 as well.
Really?
So it's more about government ideology than it is about healthcare for the people...isn't it?
That's the same view as the politicians. No credibility on your behalf...too bad
He asked who had the money. Do you think the top two percent don't have the money in their bank account?
Please don't insult all of us about credibility. I asked for a link and you provide a quip from NPR that tells us nothing about what actually happened to the German system and you talk about credibility. LOL not this is funny. That would be like me posting a link to Bill Maher talking about the cause of inflation.
Ooopsie!
Oooopie what. I asked for a link he provided one. It explains a situation. It does not cover the causes and the remedies. Do you have any idea how those costa and expenses are negotiated. Medical care is contracted. If in fact the number was made to low after the life of the contract this can happen. It happened in Sweden years ago and was quickly corrected in the next contract. Maybe you would do well to learn something about the workings of the world before you decide to chuckle. A German article or information would be better but at least he provided a picture of what has happened.
Do you understand anything about being taxed for this type of social program.
First you have an income tax...then you have some steep gas taxes, then you have a VAT, etc, etc.
Keep your feet on the ground, would you?
Like Oddball a lot of talk and zero substance.Thank you for the article. I am not saying this is the answer to their current difficulty but perhaps when the new contract was made there was little foresight used in expanding the costs. After the next budget negotiations on medical we will see if the problem still exists. I doubt that it will.
All they need to do is double down on more government "revenue"...that will resolve the problem.
See how this works with healthcare?
Bullshit.Oh, Jesus H tapdancing Christ....Another one.
Yet, somehow or another, forcing everyone to have the federal gubmint as the insurance monopoly is going to make it allllll better?
Ever wonder why the hell is it socialists just hate monopolies, except when those monopolies are run by gubmint?
The US works on profit structure. To take it away at this point makes the whole nation fall apart. The amount one takes as profit is what causes the disparity in wealth and the high costs for medical care.
The in-state defacto insurance monopolies and complete insulation of those receiving the service and those paying for it, are why the costs have escalated...Lest we leave out Medicare/Medicaid, which are financial train wrecks.
You really don't know diddly-poo about basic economics, do you?
Because if there's anything that monopoly -especially that run by poiliticians and bureaucrats- just screams, it's lower costs and better service!Oooopie what. I asked for a link he provided one. It explains a situation. It does not cover the causes and the remedies. Do you have any idea how those costa and expenses are negotiated. Medical care is contracted. If in fact the number was made to low after the life of the contract this can happen. It happened in Sweden years ago and was quickly corrected in the next contract. Maybe you would do well to learn something about the workings of the world before you decide to chuckle. A German article or information would be better but at least he provided a picture of what has happened.
Do you understand anything about being taxed for this type of social program.
First you have an income tax...then you have some steep gas taxes, then you have a VAT, etc, etc.
Keep your feet on the ground, would you?
Yes I do. You would no longer be paying insurance premiums and that would be less than the actual taxes. Do you understand about being taxed for this and what they would cost? Your business that pays the insurance premiums now would pay for the universal health care premium. So tell me what tax you are speaking about.
Oooopie what. I asked for a link he provided one. It explains a situation. It does not cover the causes and the remedies. Do you have any idea how those costa and expenses are negotiated. Medical care is contracted. If in fact the number was made to low after the life of the contract this can happen. It happened in Sweden years ago and was quickly corrected in the next contract. Maybe you would do well to learn something about the workings of the world before you decide to chuckle. A German article or information would be better but at least he provided a picture of what has happened.
Do you understand anything about being taxed for this type of social program.
First you have an income tax...then you have some steep gas taxes, then you have a VAT, etc, etc.
Keep your feet on the ground, would you?
Yes I do. You would no longer be paying insurance premiums and that would be less than the actual taxes. Do you understand about being taxed for this and what they would cost? Your business that pays the insurance premiums now would pay for the universal health care premium. So tell me what tax you are speaking about.
Bullshit.Oh, Jesus H tapdancing Christ....Another one.
Yet, somehow or another, forcing everyone to have the federal gubmint as the insurance monopoly is going to make it allllll better?
Ever wonder why the hell is it socialists just hate monopolies, except when those monopolies are run by gubmint?
The US works on profit structure. To take it away at this point makes the whole nation fall apart. The amount one takes as profit is what causes the disparity in wealth and the high costs for medical care.
The in-state defacto insurance monopolies and complete insulation of those receiving the service and those paying for it, are why the costs have escalated...Lest we leave out Medicare/Medicaid, which are financial train wrecks.
You really don't know diddly-poo about basic economics, do you?
Yeah, whatever....I'm not the one here with blind faith in bureaucratic monopoly, you are.As I thought someone that knows nothing making snide remarks. The picture and name suit you.Like the IRS, only with your life in their hands.
You want your medical care handled by the same fatasses who run the DMV, that's your funeral...Just don't wave a gun in my face and expect me to like paying for it.
Yeah, whatever....I'm not the one here with blind faith in bureaucratic monopoly, you are.As I thought someone that knows nothing making snide remarks. The picture and name suit you.
You want your medical care handled by the same fatasses who run the DMV, that's your funeral...Just don't wave a gun in my face and expect me to like paying for it.
No you trust some insurer who is looking for his next Yacht to handle your care.
Running up deficits in the process...please be thorough in you posts about this.
So you must think insurance companies run at a loss. Every American would contribute as they do now to insurance companies. The government would be the insurer. With a larger pool instead of just those in the highest risk groups there would be more funds. But since you believe obviously that insurance companies run at a loss you may be correct.
Would you kindly address the deficit part of my post? You're a socialist...I get that from your earlier post. But there comes a time when the credit card has to be paid....and we don't have the money for it. I tried to show you that these countries that have a huge socialist lean....they're not making it economically, neither would we. Get a grip on reality.
Bullshit.The US works on profit structure. To take it away at this point makes the whole nation fall apart. The amount one takes as profit is what causes the disparity in wealth and the high costs for medical care.
The in-state defacto insurance monopolies and complete insulation of those receiving the service and those paying for it, are why the costs have escalated...Lest we leave out Medicare/Medicaid, which are financial train wrecks.
You really don't know diddly-poo about basic economics, do you?
The US does not work on profit? That would be a surprise to everyone.
Medicare is the highest risk group in the US costs are high as are Medicaid patients as well as VA.
I am wondering if you know anything at all except how to spell and string words together in a semblance of order.
I know more than your friend Meister that has no idea what the taxes would be and where they would come from for the coverage. he even thinks the insurance operate at a loss. So if you want to talk about someone who doesn't know anything about economics you should mention him or her.
We also have people like you treating insurance (that which should be used for unforeseeable maladies and trauma) as defacto pre-paid medical, for any and every single contact with anyone that has lays any hands on anyone for anything.Bullshit.The US works on profit structure. To take it away at this point makes the whole nation fall apart. The amount one takes as profit is what causes the disparity in wealth and the high costs for medical care.
The in-state defacto insurance monopolies and complete insulation of those receiving the service and those paying for it, are why the costs have escalated...Lest we leave out Medicare/Medicaid, which are financial train wrecks.
You really don't know diddly-poo about basic economics, do you?
The in state mini monopolies are definitely causing some of the rise in prices but theres more to it than that.
We have an aging baby boomer population which creates more demand for medical services thus drives the cost up. Our system is more corrective as opposed to preventive medicine. Preventive medicine is cheaper in the long run which is why insurance companies were beginning to cover more preventive procedures even before the ACA was passed, and finally while some reports ( from the CBO ) say that mecial malpractice insurance only accoutns for a 2% rise in costs, other reports ( specifically from the AMA ) say that it accounts for much mnore than that saying that the CBO report focused only on corrective medicine and ignored prevenetive.
So I agree with you that those mini monopolies are bad and ARE driving up costs but they are not the only factor.
the question though is this:
Those companies have those monopolies because they have deals with the individual states. If the federal government tries to force interstate competition, they are then encroaching on states rights. Is this a case where that would be acceptable, or should the change be forced within the state governments themselves?
And if so, how is that accomplished, with groups like ALEC out there working nation wide against such a thing?
So you must think insurance companies run at a loss. Every American would contribute as they do now to insurance companies. The government would be the insurer. With a larger pool instead of just those in the highest risk groups there would be more funds. But since you believe obviously that insurance companies run at a loss you may be correct.
Would you kindly address the deficit part of my post? You're a socialist...I get that from your earlier post. But there comes a time when the credit card has to be paid....and we don't have the money for it. I tried to show you that these countries that have a huge socialist lean....they're not making it economically, neither would we. Get a grip on reality.
Actually, IF ( and its a biiiiig if ), swicthing to UHC could drive costs down, it would leave more money on the table to drive the economy, thus creating more income for the individual and more tax revenue for the goevrnment.
But its a BIG if.
There it is again....Pure, unvarnished, naked envy.Yeah, whatever....I'm not the one here with blind faith in bureaucratic monopoly, you are.As I thought someone that knows nothing making snide remarks. The picture and name suit you.
You want your medical care handled by the same fatasses who run the DMV, that's your funeral...Just don't wave a gun in my face and expect me to like paying for it.
No you trust some insurer who is looking for his next Yacht to handle your care.
