Charlie Rose - Healthcare Reform with Dr. Howard Dean and Dr. Bill Frist »
Posted By deathray 4 months ago in Political Opinion
charlie rose interviews Gov. Howard Dean, MD and Sen. Bill Frist, MD on the politics, public policy, economics and efficiency issues associated with health care reform.
Read Full Story at charlierose.com »
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deathray
Hm...summarizing a life...Investment banker, sailor, unintentional gourmet cook. Ex US Naval officer, also Foreign Service. Split my time between NYC and Miami Beach ...
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deathray4 months ago
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it's worth the 27 minute investment, as advocates for healthcare reform debate how the system should be changed. both doctors have definite ideas about how this should be implemented, and both present policy positions that have merit.
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deathray4 months ago
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additionally, aboput a week ago, charlie interviews the ceo of the mayo clinic, denis cortese about the issues of improving the cost effectiveness of health care by changing the fee for service model to a wholistic, preventative approach to health care.
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dr. cortese adresses the issue from this perspective:
1. who would want to be in a hospital?
2. who would want to be a patient?
3. who would want to be sick in this country at all?
http://www.charlierose.com/view/interview/10496 -
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AnteUp4 months ago
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A question, deathray -
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Fairly well into the piece Dean, Frist and Rose begin to talk over one another and I
am most interested in understanding the figure that Dean spoke of.
Frist started the section saying that was why most people didn't want it -
where Dean engages and says actually 72 percent of the public and 50 percent
of Republicans prefer it.....................
Was Governor Dean referring to single-payer's popularity with the public?
If it WAS single-payer that they were discussing there - how could Baucus
and Grassley take it off the table right from the get-go? That would seem to
be both sides of the aisle working in tandem to NOT consider what we want.
If true - is the power of "influence" their sole consideration?
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pc254 months ago
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Obama's Doctor: President's Vision For Health Care Bound To Fail
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http://www.huffingtonpost.com/2009/07/29/obamas-do...
The man Barack Obama consulted on medical matters for over two decades said on Tuesday that the president's vision for health care reform is bound for failure.
Dr. David Scheiner, a 70-year Chicago-based physician who treated Obama for more than 20 years, said he was disheartened by the health care legislation his former patient is championing, calling it piecemeal and ineffectual.
"I look at his program and I can't see how it's going to work," Scheiner told the Huffington Post. "He has no cost control. There would be no effective cost control in his program. The [Congressional Budget Office] said it's going be incredibly expensive ... and the thing that I really am worried about is, if it is the failure that I think it would be, then health reform will be set back a long, long time."
Scheiner, who prefers a more progressive approach to reform, was hesitant about trying to divine the president's motives, although he said he believed that "in his heart of hearts" Obama "may well like a single-payer program."
"His pragmatism is what is overwhelming him." Scheiner added: "I think he's afraid that he can't get anything through if he doesn't go through this incredibly compromised program."-
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deathray4 months ago
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"Scheiner, who prefers a more progressive approach to reform, was hesitant about trying to divine the president's motives, although he said he believed that "in his heart of hearts" Obama "may well like a single-payer program.""
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right -
he probably supports single payer, as do 99% of the doctors i know, and believe me, i know many. if anything, dr. scheiner thinks obama is being too timid in his desire for compromise with the so called conservatives (previously known as republicans) to effect real change.
this means that your example demonstrates nothing better than the obstructionism for which the party of 'no' is currently known.
dr. frist, if you watch the video, provides some common sense approaches - ideologically, but as a health care advocate, not a political personality.
this says very little about the solutions YOU might advocate. -
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rimbaud4 months ago
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Keeping the insurance businesses in play is what is making health reform complicated. Yet, even in Britain, with the National Health Service, private insurance still survives for those willing to pay for it, and private medicine is alive and well.
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AnteUp4 months ago
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I have seen the good doctor interviewed twice and I concur - single-payer would
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be the best option.
Dr. Nancy on MSNBC just today - promoted her upcoming interview with
President Obama's former doctor as though he was against health care reform
in general. I thought she looked totally flustered when he confirmed that he
did not think the plans being discussed now would be very effective.
No - he supported single-payer..................you could almost see her brain
smoking as she tried to switch gears on air in real time.
I will continue to root for the doctor's point of view.
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AnteUp4 months ago
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Frist says he's for reform - reform of the insurance industry.
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Wouldn't that be government reform and regulation?
He says the insurance industry must eliminate their cherry-picking, those covered must not lose their coverage if they lose their job, and stop the pre-existing condition exclusions.
That all sounds good - as Dean said, we couldn't claim we reformed health care, it would be insurance reform - not
a bad thing - but, how can the government telling the insurance
companies how they must run their businesses not cross that
Republican line of no government control of business?
Plus, I find it hard to believe that forcing the insurance companies to instigate these changes would not drive up costs -
to us. Why not just do single-payer health care and the
industry will fall in line.......or not. -
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wtagg4 months ago
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My basic fear with the pursuit of the current plan is that we are adding to the system without making it better or more efficient. Having more inefficiency is not the way to a solution. We should be striving to make the system more efficient. A more efficient system would theoretically lower entry into the system, allowing more to use the system.
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The current system fights itself, which frankly I believe is by design. We have emergency rooms functioning as day clinics, an MRI on every street corner, a gazillion specialists, prescriptions for stuff that the side effects seem much more dangerous that the malady the script alleges to help, towns of 5,000 residents and 3 drug stores, towns of 5,000 residents and 2-3 rehab/therapy clinics, etc.... I won't even go into the billing aspect of the current system.
The current system is a mess and I think that is by intelligent design. It is easy to take advantage/pursue fraud in such a system. We all pay for that in the end and we shouldn't be happy about that.
We should fix before we expand. The only result I can see is making a mess messier. Fixing the mess would most likely provide efficiencies that would then allow more people into the system.
I love to see prescription drugs removed from advertising outside of trade journals. I can see no obvious rationale for advertising other than self-medication. Doctors no longer prescribe, they just rubber stamp what the *customer* desires. -
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Spadecaller4 months ago
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Should we eliminate those that are objecting to health care reform simply because it may affect their livelihoods due to their various financial connections to insurance companies, pharmaceutical companies, or any enterprise involved in the medical industrial complex, the problem ceases to be insurmountable. Therein lies the struggle that will eventually produce casualties from the changes that are desperately needed by the vast majority of Americans. It would be nice to hear from those who post on Propeller who work for insurance companies and would be affected by good health care reform. I would like to see that kind of honesty. But, after reading comments and angry accusations and attacks against Obama, it is easy to see that the smoke screen is well constructed. Many of the most ardent obstructionists who insist that no change is for the best, are people who make their living from the current dysfunctional system. It's amazing. Since this discussion has been going on, how often does anyone ever admit that they make their living from those who pay high premiums for lousy health protection?
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That is the major problem. There are too many people financially tied to the current network for change to come without serious damages.
I would like to see Congress pressed upon by the vast majority of Americans to relinquish the insurance benefits that we provide them. The American people must put the screws to their representatives by demanding through the polls that they agree to accept the same health care coverage that all Americans can be entitled to. Then we will have the necessary leverage to face the powerful medical industrial complex.
The games are easy to see. As soon as the politicians attempt to divide the types of coverage available for Americans according to age and or economic status, the games begin. Our nation will not resolve this problem until it surrenders to the fact that health care is a right - not a privilege.-
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joeblowe4 months ago
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Health care is a "right?" Where do you get that silly nonsense? Even in communist countries only the ILLUSION of healthcare is a "right." Please indicate to me ANYWHERE in the world that says "HEALTH CARE IS A RIGHT." I've read our Constitution many times, and I don't remember seeing anything in there anywhere that said I had a RIGHT to healthcare. And I sure as hell didn't ever see anything that said I had a RIGHT to make SOMEONE ELSE PAY for my health care. You want to make a damn slave out of me? Say that to my face and when it's all over we'll see who has the most teeth left. HOW DARE YOU claim that it is your RIGHT to steal from me to pay for YOUR health care?
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All you freaking IDIOTS that think "the government will pay for it" had better come quickly to the realization that THE GOVERNMENT DOES NOT HAVE ANY MONEY. THE GOVERNMENT DOES NOT EARN ANY MONEY. THE ONLY MONEY THE GOVERNMENT HAS, IT TAKES AWAY FROM YOU AND ME. Freaking GD IDIOTS! -
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Natureboy4 months ago
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"Should we eliminate those that are objecting to health care reform simply because it may affect their livelihoods due to their various financial connections to insurance companies, pharmaceutical companies, or any enterprise involved in the medical industrial complex, the problem ceases to be insurmountable."
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Actually, many if not most on the delivery end of the medical-industrial complex would be DELIGHTED to have single-payor health coverage.
Navigating the labyrinth of the current system to get from provision of service to the zeroing out of a receivable is an absolute effing nightmare under the present system, always difficult, sometimes virtually impossible. It's an outrageous clerical burden for healthcare providers, one that would be virtually eliminated with a single-payor plan.
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coolrayfruge4 months ago
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The cost of everything is getting rediculous.
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It shouldn't cost a thousand dollars for a check up and a perscription of pills.
If I hadn't got Access from the Welfare office.
I couldn't afford to see a doctor.
Most people don't have a choice.
They have to depend on the government for medicare.
I've had insurance companys that only pay half of what you owe on the cost.
So not only are you paying the insurance company their coverage.
You still have to shell out a couple hundred that you don't have to the doctors.-
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joeblowe4 months ago
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You ALREADY HAVE government health insurance. What do you think Access is? SOMEONE ELSE is paying FOR you.
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when you say "most people don't have a choice" I believe you are seriously mistaken. I think if you will notice, MOST people DO have a choice, and they chose to have insurance. the MAJORITY of citizens DO have coverage. And he's a pointer: If YOU are going to have to pay a part of your medical bill, you should NEGOTIATE with the providers to see if you can get a better price than they automatically charge the insurance companies they already know are going to try to screw them? You should also be aware that policies that have a significant deductable or higher co-pays are SIGNIFICANTLY less expensive than the pays-for-everything-100% kind. Jesus Haephestus Christ - It never ceases to amaze me how people think they can get something for nothing. Or get it by enslaving everyone in the medical profession. Here's a thought: YOU go through a very difficult 8 years of higher education and see how willing YOU are to work for $10/hr.
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lloydm654 months ago
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Single payer? I don't think so.I have struggled to pay my premiums,to keep my health care.I've said before that I support insurance for those who can't pay.but to try and satisfy these nare do wells who won't give up theirs toys,and vises to purchase there own health care ,no it won't fly.Just because we made a stupid blunder in the election the left thinks they can force anything on real Americans.
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greenmac4 months ago
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This may or may not be of significance on this thread ... but here is break down on health spending in canada
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"Hospitals continue to make up the largest component of Canada’s health care spending; however, their share of total health expenditure has steadily declined. In 2008, hospitals were expected to account for 28.0% ($48.1 billion) of total health care spending, down from 30.7% in 1998 and 44.7% in 1975.
Since 1997, pharmaceuticals have consumed the second-largest share of health dollars. In 2008, spending on drugs (including both prescribed and non-prescribed medications) was expected to account for 17.4% of total health care spending ($29.8 billion), up from 15.0% a decade ago and 8.8% in 1975. Payments to physicians represent Canada’s third-largest share, accounting for an estimated 13.4% of total spending in 2008 ($23 billion), a share that has remained relatively stable since 1999. In 2008, spending on drugs was expected to grow faster (8.3%) than spending on hospitals (5.8%) or physicians (6.2%). "
http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page...
HIP STATS
Total hip replacements in Canada in 2006-07, excluding Quebec: 24,253.
Per cent of recipients who were 65 or older: 63
Fastest growing group of recipients: men 45 to 54, women 85 and older.
Per cent of hip replacements in 2006-07 that involved resurfacing: 2.7 per cent.
SOURCE: The Canadian Institute for Health Information 2008-09 annual report-
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joeblowe4 months ago
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Personally - I don't give a fat damn about CANADA. The United States is NOT Canada, and with any luck never will be. Down here, we are NOT a damned socialist country. Please, STAY in Canada, ENJOY the wonderful health care - BUT! DO NOT try to come down here for treatment if you ever REALLY need good care. And don't be telling US what we need to do. MYOFB! Thank you.
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skyking2p4 months ago
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Article 8, Section I, Clause I of the U.S. Constitution is known as the Taxing and Spending Clause:
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The Congress shall have Power To lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common Defence and general Welfare of the United States; but all Duties, Imposts and Excises shall be uniform throughout the United States;
I think health coverage for ALL Americans is "providing for the general Welfare" -
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Bopi3654 months ago
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Joe blow apparently still mis-informed , still regurgitating the faux news talking points
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Did I hear correctly , Did (R)Frist actually suggest taxing the wealthy as a means of paying for reform. That doesn't sound very republican....... -
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Icantwait4 months ago
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My Fellow Americans: I'm going to do everyone a Huge Favor. I'm am going to Present My Health Care Plan. Ok! Damocrats, read on, don't just respond by seeing my, My Fellow Americans, kick off.
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I am proposing Three (3) individual plans. Americans will have the Freedom to choose whichever one they want. If they are not happy with the plan they chose they'll have the Freedom to choose one of the other plans. This should make all concern
parties happy.
Plan #1: The Obama and Congress Health Plan. Every benefit in the Plan of the Government will apply to any individual who so chooses this Plan. So, now we won't be able to blame them for having a better plan than ours. No Death Counseling.
Plan #2: The National Health Care Plan. This Plan originally designed for Everyone without the Free Choice of any other Plan will now be available for only Illegal Aliens, Public Assistance Residence, Drug Addicts, Criminals on Parole, Acorn Members, Questionable Disability Cases, Unions, and Czars or you if you have a desire to get on it. Now, those individuals will be able to eventually change plans once they get work, get rehabilitated and with a job, and quit Acorn or the Unions.
Which will include Death Counseling, at any age.
Plan #3: This Plan will allow every Tax Payer, Retired Person,
Military Personnel, Viably Disabled Individual, Business Owner, and Patriot to take care of their own Health Care Needs, either by choosing not to have any or getting a responsible Insurance Company to cover their desired needs. Yes, you got it, No Death Counseling.
Will it Work? Trust Me Just Like A BMW. How? Obama and Congresses Health Care Coverage. Believe me there is none better than theirs. You'll get to share in it.
Plan #2: Will work by getting them off our Insurance and onto the Government Plan. Which is designed to Shorten their Lives, thus reducing cost and eliminating a part of the population that Obama wants to rid the world of now.
Plan #3: By Plan #2 lessoning the Cost on Insurance Companies they will be able to provide us with a Freedom of Choice, through Competition, which will lower total cost and provide higher quality of Health Care.
I Love to explain the vast amount of Benefits that my Plans will provide but I,m pretty sure you get the Picture. The Real American
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