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Cracked, Bruised and Broken Ribs

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Loki said:
All that most people do is go to their primary care physician 2-5 times/year or less, depending on the age and general health of the patient. You mean to tell me that a person making $120K should be able to fork over a mere $10 co-pay to his doctor for his services and then go out later in the evening and drop $350+ on dinner? That's indefensible, sorry. Yet that's exactly what happens to varying degrees all over the nation.

No, I didn't say that, I said income taxes should be raised to be appropriate for the level of income, and that revenue used (among other things) to start a free, universal healthcare system for all citizens, regardless of their income.

Loki said:
Oh, and my cousin has way more than $4000 in the bank for a rainy day, even in spite of all his indulgent spending. And he's only 32 years old.

Good for him. Your reasoning is still flawed. You're supposing that all rich people are invariably healthy and never go the doctor for anything other than checkups. It's absurd logic. Why not charge rich people 200% on everything, food, gas, clothes, etc.? Hell, they can afford it, right? I don't want to come off sounding like a Republican or conservative (which I'm definitely not, I'm more in the middle/left) but your reasoning defies logic.
 
I know Loki is ignoring me over stupid reasons, but he's always seemed to have a rather large disdain against the rich. And I'm serious. This isn't a little quip designed to piss him off or elicit a 5000 word response. It's just something I've noted in all his posts concerning these types of matters.

It's like, "Hey, he's rich, he can do this and that and this, let's place more burden on them because they've worked hard and earned good money."

I don't think my family would appreciate having to pay more costs just because they're good earners. That WOULD affect us just in the way that costs affect the poor.
 

Loki

Count of Concision
HalfPastNoon said:
My medical bill for the past six months came in at $99,999.99. We only had to pay $999.

System works fine to me...

You obviously have a serious condition, but that's just inexcusable imo considering that your family earns in excess of $230K/year. You mean that they couldn't have afforded at least $20K of those expenses, especially in light of your $30K per year allowance? That's bullshit. Sorry.


I don't think my family would appreciate having to pay more costs just because they're good earners.

It's not "just because they're good earners"-- it's because they can afford to pay more. You can't pay what you don't have, right? Do you think that it's sane that your parents essentially paid only 1% of your medical costs despite the fact that they could afford to swallow the entire bill and not be living on the streets? Personally, I think that's nuts. Do you do that, or have that sort of attitude, with any other service or activity? Consistency is all I ask for, and for folks who rationalize things in such a way, there is none.


And, if you take a look at it, my plan is not "placing more of a burden" on rich people-- in fact, all it is doing is compelling those who can pay to pay their due. Your family makes $300K/year? Well then your deductible should be around $35-40K. "Burden" implies something undeserved, and I am in no way advocating cost shifting to the upper classes. All I'm saying is that, for a given service rendered (which has a fixed cost), richer people should pay more simply because they have more, and can afford to pay a greater percentage of these expenses. Therefore, whatever the procedure or care costs, then that's what it costs; those who can afford to pay it, should, within reason. Obviously nobody is asking a family making $250K to pay $150K out of pocket, because that would be absurd-- it wouldn't be absurd, however, for someone making $1.2M per year.


Cost shifting in our current system exists because of people such as yourself, believe it or not. People who have the means to pay but refuse to, believing themselves to be entitled to the hard work of other professionals via some spurious logical chain. You cannot justify your beliefs, and so I won't ask you to, because you'll only end up making yourself look bad. When you go to a restaurant (you know, for those lobsters and steaks you're so fond of), do you just insist that you'll only pay 1% of the bill for the services rendered despite having ample funds? What about your current abode, the palatial villa? Did your affluent father work out a deal with the landlord whereby he pays only 10% of the rent being asked?


I have NOTHING AT ALL against "rich" people (I don't even see $250K/year as being "rich", mind you, though all such conceptions are ultimately relative), except to say that they should pay their own way and not be entitled to loopholes and programs which, ideally, should solely benefit those in need. Do I take issue with those who earn in excess of $50M per annum? Sure, but that's largely because such opulence begets many social ills and begins to poison our society and system of government after a certain point. Does your family earn upwards of $50M each year? If not, then why are you opening your mouth? Do some thinking...


It's funny how your father-- a businessman, from what I recall; one who made his bones in the open market and presumably values free markets as far as it benefits his own bottom line-- suddenly is stricken with a case of selective amnesia when the healthcare bills roll in, and forgets all about that overly idealistic "free market" and "payment for services" stuff he so fondly adhered to in his more lucid days. Funny how that works, eh? Spare me...


But if you can philosophically justify why this should be allowed to persist, or why one situation is qualitatively different from another, then feel free to do so. It'll (hopefully) be the first intelligent thing I've heard you say on this board. Impress me with your mind, Lonestar-- a mind that has only been allowed to continue its existence on the backs of others who are working for a pittance while you and yours live the life of luxury, all the while implicitly thumbing your nose at those who sustain you. Yes, yes-- very just, that. <rolleyes>
 

Loki

Count of Concision
DJ Demon J said:
Your reasoning is still flawed.

Believe me when I tell you that it isn't.


If a person avails himself of a service, to which is assigned a set fee, does that person have a right to not pay for the service after it has been rendered, assuming he has the means to pay? Go ahead and tell me a single other area of life where such a mentality is considered acceptable. Do you pay your plumber or mechanic half of what they charge? Of course you don't, because you know that your ass will end up in court. But that begs the question: why are such actions verboten in these spheres but not when it comes to health care? What is qualitatively different about health care that it should be set apart in such a way? Sure, it's quite important, but I would argue that there are a great many other things just as important, and yet we do not try to act in such a manner when it comes to those things.


You're perhaps misunderstanding:


I'm not advocating charging the rich more for the same procedure or service; in fact, the cost would be consistent under such a plan, unlike how it is presently, where charges vary based on coverage plan as providers attempt to recoup costs. So let's take the case of an appendectomy. The cost of the operation is, in all cases, $2500 (hypothetically; I have no idea of the actual cost). If you earn $20K/year, you should perhaps pay $300. If you earn $60K per year, you should pay $1100, with the rest being picked up by your insurance company (since it exceeds your deductible); if you earn $150K per year, you should just have to pay the $2500 outright, since your deductible would be well beyond this amount. The cost of the procedure is the same in each instance-- all that differs is the extent to which each person is capable of paying.


Advocates for the wealthy (see: staunch fiscal conservatives) are always clamoring for a flat tax rate (30% across the board, for example), and that's because it is ostensibly fair (it's not, but that's for a different topic). So consider this a flat health care rate; it can be set to 10-15% of a person's income for all brackets, right across the board. So a person who makes $25K pays $250 while one who makes $125K pays $12500. Fair, no? I'm not saying that my plan is not assailable, because certainly it is-- just not on the grounds that you've proposed.


You're supposing that all rich people are invariably healthy and never go the doctor for anything other than checkups. It's absurd logic.

I'm not supposing that at all; please realize that the deductibles I proposed are per year, total, not "per incident". So it doesn't matter if a person saw their primary care doctor four times AND needed an MRI, because their deductible would still be the same; anything beyond those costs, per year, would be covered by their insurance policy. And it's not absurd at all-- it's the way things work in every other area of life (or at least closer to such than we have presently).
 
Loki said:
Believe me when I tell you that it isn't.

Yeaaa....OK.

Loki said:
The cost of the procedure is the same in each instance-- all that differs is the extent to which each person is capable of paying.

Well shit, I live in a low-income housing area and my plumber is demanding $400 to fix my toilet for services rendered. Since I can't afford that, I guess it's OK to just pay $50, what I'm capable of paying?

....

Where's that huge fucking ROLLEYES smiley when I need it?

Loki said:
Advocates for the wealthy (see: staunch fiscal conservatives) are always clamoring for a flat tax rate (30% across the board, for example)

I'm not proposing a flat tax. You make more, you get taxed more. You make less, you get taxed less. Your taxes pay for your rights and freedoms and services afforded to you by your government. In return, EVERYONE gets life's necessities (like health care, education, etc.) covered by tax revenue.
 
Oh, and BIG FUCKING ROOFLES to Loki's comment about it being OK to expect someone who makes 1.2 mil/year to pay 150k for medical expenses. You obviously have a huge bone to pick with the rich Loki.
 

Loki

Count of Concision
DJ Demon J said:
Yeaaa....OK.



Well shit, I live in a low-income housing area and my plumber is demanding $400 to fix my toilet for services rendered. Since I can't afford that, I guess it's OK to just pay $50, what I'm capable of paying?

....

Where's that huge fucking ROLLEYES smiley when I need it?



I'm not proposing a flat tax. You make more, you get taxed more. You make less, you get taxed less. Your taxes pay for your rights and freedoms and services afforded to you by your government. In return, EVERYONE gets life's necessities (like health care, education, etc.) covered by tax revenue.

(Emphasis mine)

What's sad is that you're actually arguing for my point, but you're too dense to realize it.


And (free) healthcare is not a "necessity", and it is even less of a "right"-- "rights" cannot come at the expense and toil of others. Allow me to quote my post from a different thread:

"You cannot have a "right" which is dependent upon another's services. You have a right to free speech and free press, but you are not entitled to have a "free" national newspaper printed in your name, with the workers manning the presses for "free". You are entitled to freedom of assembly, but not in a privately owned facility at the owner's expense. You're going to be a lawyer, right Astrolad? Well, certainly the right to representation is more fundamental than health care, seeing as how the founding fathers actually explicitly codified its role in our judicial system as well as people's right to have access to it. So I assume that you're going to do nothing but pro-bono work, or work for a mere pittance? Say "but they have free attorneys provided for such instances" and entirely miss the point; they have "free" health care also-- they're called "clinics". This is not to attack you, I'm just trying to make a point."


This whole notion of healthcare as a "right" is, sadly, in keeping with our culture, which as of late has been long on rights and short on responsibilities; your very line of reasoning-- that those who earn more should not have to pay more-- speaks to this very fact. Your "universal health care" proposal doesn't mitigate this, because that comes with its own evils, which are beyond the scope of this topic. Do some research.



Oh, and BIG FUCKING ROOFLES to Loki's comment about it being OK to expect someone who makes 1.2 mil/year to pay 150k for medical expenses. You obviously have a huge bone to pick with the rich Loki.

Umm, no I don't. That would be their deductible, not what they would pay each year as an insurance premium or some such. What are the chances of ANYONE exceeding $100K in medical costs for a single year? Slim to none; hell, Lonestar has a very serious chronic condition and even his bill didn't reach the $100K mark. Things like that seldomly happen; when and if it DOES happen, however, and the person's bills are on the order of $120K, they should have to pay for those services, the same way that they pay for everything else (their yacht, dinners out, summer homes etc.). A person earning $1.2 million per year for several years can certainly afford to pay $150K for their medical care if such a scenario ever came to pass (which it rarely would). I don't know how you could possibly debate this, actually. So a person earning $1.2 million per annum should be able to get the same coverage as a middle-class person and go to the doctor and pay $10 for a visit, as they do now? Wow...I'm utterly speechless at such a rationale, to be honest. The feelings of entitlement in this country are just totally out of hand.


Can I move to a different planet, by any chance? :D
 

Loki

Count of Concision
At any rate, I'm done with this thread, so the two of you are free to have the last word if you so desire-- I've said everything that I wanted to get across. I've already written nearly 20 full pages of text in here, which is time and energy that would be put to better use elsewhere. :)


I will say that I feel the two of you are employing selective reasoning and are being nearsighted in many of your analyses, however. If I felt like writing another ten pages worth of posts, I'd show you precisely why, but I'm not a machine; besides, I have other stuff to do.
 
Loki said:
What's sad is that you're actually arguing for my point, but you're too dense to realize it.

*snip* *snip*

This whole notion of healthcare as a "right" is, sadly, in keeping with our culture, which as of late has been long on rights and short on responsibilities; your very line of reasoning-- that those who earn more should not have to pay more-- speaks to this very fact. Your "universal health care" proposal doesn't mitigate this, because that comes with its own evils, which are beyond the scope of this topic. Do some research.

It's a sad world you live in if you don't wish all people to have free medical treatment as needed.

Let me just reprint this again:

Loki said:
your very line of reasoning-- that those who earn more should not have to pay more

What did I say before? How many times must I repeat it?

DJ Demon J said:
You make more, you get taxed more. You make less, you get taxed less.


Do I dislike the entitlement complex of many in this nation today? Absolutely. Is free healthcare an evil, entitlement complex thing? I don't think so. I would think that with your desire to lower costs of medical expenses for low-income groups, you'd be all for free healthcare for them. I guess not. *shrug*

Loki said:
So a person earning $1.2 million per annum should be able to get the same coverage as a middle-class person and go to the doctor and pay $10 for a visit, as they do now? Wow...I'm utterly speechless at such a rationale, to be honest. The feelings of entitlement in this country are just totally out of hand.

Here's the crux of your argument. You have a big beef with a rich family paying the same deductible for a visit as a middle-or low-income family. I'm assuming that you expect a 1.2 mil/year income family to pay more for car insurance on the exact same car (1991 Honda, let's say) as a 25,000/year income family, given all other factors (age/sex/driving record, make and mileage and condition of car, credit history) are the same? How about life insurance? Same deal? Same factors, age/sex/race/credit history, just one person makes more, so let's charge them 200% more for a deductible cause they can afford to pay it?

Do I feel that the current situation (as you put it) where a rich family can pay a much smaller portion of their income to get the same level of health care as a poor family is a good situation? Not at all. But your reasoning defies logic, and as I said before, I would think you would support an idea like free healthcare given your rants above.
 
Umm, no I don't. That would be their deductible, not what they would pay each year as an insurance premium or some such. What are the chances of ANYONE exceeding $100K in medical costs for a single year? Slim to none; hell, Lonestar has a very serious chronic condition and even his bill didn't reach the $100K mark.

....


My medical bill for the past six months came in at $99,999.99. We only had to pay $999.

More later. Just wanted to point that out real quickly...
 

Loki

Count of Concision
HalfPastNoon said:
....




More later. Just wanted to point that out real quickly...

Whoops-- for some reason I read that as "the past year". My mistake. Still, obviously it's an extreme situation when medical costs per year would be on the order of $150K, and even then, if somebody is making $1.2M per year, they can certainly afford to pay it, the same way they pay for everything else in life. Fee for service. I certainly wasn't advocating that your family pay the entire $100K, just some reasonable chunk of it ($20-25K or so for the year). This strikes me as perfectly sensible in light of all I know about your situation (the aforementioned villa, the dinners out, the $30K allowance they give you, the $230K+ household income etc.).


It's a sad world you live in if you don't wish all people to have free medical treatment as needed.


It's a sad world you live in if you don't realize that these things should be "free" only for those who cannot afford to pay, and should be paid for, within their respective means, by those who can. It's a sad world you live in if you honestly think that physicians deserve to make $80K, like they would under a socialized system. That's not a profession-- that's social work. The quality of care would also drop dramatically merely due to the system (like I said, do some research into the numerous failings of socialized systems-- it's not all roses, you know).

In addition to the system's failings, the quality of physician you're going to have would also drop off, because nobody with ANY sort of brains would endure the length and rigors of medical school and residency only to come out making the same as a person with a business bachelor's degree or a two-year MBA. This is not to say that physicians are only in it for the money (most simply desire compensation commensurate with their skills and training, which they aren't getting and wouldn't get under socialized medicine), or that they aren't caring people for the most part-- but they also care about themselves and their own families, and are practical. That sort of well-balanced mentality is what you threaten when you propose such measures. As it stands, medical schools get the cream of the crop of students in the US (though less so than in years past due to many of the very issues related in this thread), and you can be certain that this will be far from the case should socialized medicine be implemented (though yes, there are those rare, purely altruistic souls out there who are both phenomenally intelligent and would also endure medical school regardless of compensation-- they usually have family money, unsurprisingly). I don't know about you, but I want someone who has my life in their hands to be the very best-- not somebody who, in a more sane world, wouldn't have stood the chance of taking a seat in medical school from someone who is his intellectual superior (everything else being equal; intelligence alone doesn't make one a better physician necessarily). Again, however, maybe that's just me. If you think that I'm exaggerating about any of these very real concerns, go read any physician or med student forum on the web for a bit and then report back.


Again, you cannot have a "right" which can only be exercised on the backs of others, and at their (considerable) expense. But you don't strike me as particularly deep, so I'm not about to ask you to precisely define what a "right" is (beyond the obvious, "whatever society deems to be such"; while there is some truth in that, I'm speaking more of justifications similar to those given in the past for more traditional "rights" such as those enumerated in the Constitution and Bill of Rights). Again, why does your "right to free speech and free press" not extend to permitting all people to freely print their own periodicals, with "free" laborers manning the presses and handling the details? Why does your right to "free speech" not extend to you being given shelter in a state-of-the-art facility (say, Madison Sq. Garden) on a winter's evening in order to promulgate whatever views you may have, at considerable expense to the building's proprietor? Why is nourishment-- by anyone's account a more basic need than healthcare-- not sought by waltzing into some upscale dining establishment and compelling their master chefs to prepare meals for the indigent as opposed to sending them to a soup kitchen or some such? If you'd argue that only some bare minimum threshold must be met with regards to food, speech etc., then why do you not understand that there are, in fact, such things as free clinics, where that same bare minimum will be met. It obviously won't be the same quality of care, but, then again, Manwich Meal isn't exactly foie gras either, no (as in the previous example)? Why, then, are those things somehow different qualitatively? And why should we countenance such a notion? Particularly in light of the total injustices which would transpire under socialized medicine...


Do yourself a favor and do some thinking. And stop trying to paint me as someone with no compassion. I have repeatedly stated that those who cannot afford care should not have to pay for it. Beyond that, contrary to what people believe, people weren't dying in the streets before the advent of managed care in the early 90's-- and that's because there were entire support structures in place (charity and pro-bono hospitals and physicians, clinics and the like) for those who legitimately could not afford care. Go ask anybody who's over 60 years old. The problem now is that even those who can afford it feel entitled to the work of others for "free". It's a bullshit, nonsensical mentality, and that's all I'll say about that.


I can repeat ad nauseum that I deserve to have a boat constructed especially for me, because we all have a "right" to navigate the open waters (seriously, it's there-- I magically found it in the Constitution right next to the mythical right to health care); until I pay those carpenters and craftsmen their due, however, believe me when I tell you that I'll never be able to exercise my supposed "right".


As I mentioned in this thread, I wouldn't even necessarily be against socialized medicine-- certain conditions obtaining. But since those sensible measures will never be enacted, I cannot support such a senseless shift in our policy, especially when more limited and reasonable measures would suffice.



And NOW I am officially done with this thread. :D Have your fun telling me off dudes. :)
 
You obviously have a serious condition, but that's just inexcusable imo considering that your family earns in excess of $230K/year. You mean that they couldn't have afforded at least $20K of those expenses, especially in light of your $30K per year allowance? That's bullshit. Sorry.


Yes, they could have affored 20k, but why should they have to pay more to "sustain" me, as you so rudely stated? To pay 20k+ on medical expenses IS a burden, no matter how you slice it. Don't give me the, "could have, easily can" garbage. You're not factoring in life with rhetoric like that. What if something tragic were to happen to my younger brother, or hell, any of my immediate family members during the time they pay 20K+ a year in medical expenses just to "sustain me." Imagine more costs incurred on top of that, and then it suddenly does becomes a problem, or like I said, a BURDEN.

Do you think that it's sane that your parents essentially paid only 1% of your medical costs despite the fact that they could afford to swallow the entire bill and not be living on the streets? Personally, I think that's nuts.

Yes, to be honest, I think it's perfectly fine. Sure, they can afford to pay the whole bill, but why should they have TO just because their check nets them more income? Whats makes my disease so much more important than families with low income that my parents have to take the money they work hard for and earn and use it cover the cost of bills?

Oh yeah, I forgot, my parents make more money. They should have to pay more to "sustain" me. What a ridiculous fucking idea.

I am no different than the kid who has the terminal illness from the family who makes only 30k a year. And just as I'm sure the poor kid and family wouldn't want to be treated and viewed differently, neither do I or my family just because they happen to make a lot of money. We shouldn't be asked to foot the bill based on a income bracket. That's discrimination, and if discrimination doesn't fly anywhere else, why should it be fly here?

Cost shifting in our current system exists because of people such as yourself, believe it or not. People who have the means to pay but refuse to, believing themselves to be entitled to the hard work of other professionals via some spurious logical chain. You cannot justify your beliefs, and so I won't ask you to, because you'll only end up making yourself look bad. When you go to a restaurant (you know, for those lobsters and steaks you're so fond of), do you just insist that you'll only pay 1% of the bill for the services rendered despite having ample funds? What about your current abode, the palatial villa? Did your affluent father work out a deal with the landlord whereby he pays only 10% of the rent being asked?

Well, first of all, we don't "refuse" to pay anything concerning medical costs. We pay what is asked of us and what is stipulated in whatever insurance contracts they've signed. But you can be positive that if one day, god forbid, someone with your line of thinking ever came into a position of power or influence and came forth with this idea, there would be massive outrage; and rightly fucking so.

"Hey, look, he earns so much, make him pay more just because!!"

"Don't worry, poor family, you don't have to be concerned about bettering yourself to help your child in the future -- it's all paid for. Keep on job hopping, no worries."

Can you justify your beliefs, Loki? Can you honestly tell me these are YOUR beliefs? The restuarant analogy is fucking stupid. And as for the apartment, my dad took part in the whole process for about 20 minutes, which consisted of looking at the apartment, going over the costs, and drivign around the property. He didn't have to make any deals, and I resent the implication. You'd be surprised at how much property values differ from up in NY, and I thought you, Loki, the self-absorbed "genius", would know that. I guess not, though.

It's funny how your father-- a businessman, from what I recall; one who made his bones in the open market and presumably values free markets as far as it benefits his own bottom line-- suddenly is stricken with a case of selective amnesia when the healthcare bills roll in, and forgets all about that overly idealistic "free market" and "payment for services" stuff he so fondly adhered to in his more lucid days. Funny how that works, eh? Spare me...

How the fuck is he suddenly stricken with "selective amnesia"? I doubt he opens up the bills, looks at the cost, and goes, "Fuck, I've made lots of money being successful in this great, free market -- but damn, it's bill time. I guess I'll just forget about all that and dutifully pay before my conscious weighs down on me and I realize that I should be paying more than an average family just so I can "sustain" my son."

What I imagine happens, though, is this. He gets the bill, looks at the costs, opens up his checkbook like so many times before, and sends the check off to its merry way. Him making "bones" in the free-market probably never enters the thought equation. But, hey, you're Loki, and you're the king of reading minds and deciphering what's right and wrong.



Impress me with your mind, Lonestar-- a mind that has only been allowed to continue its existence on the backs of others who are working for a pittance while you and yours live the life of luxury, all the while implicitly thumbing your nose at those who sustain you. Yes, yes-- very just, that. <rolleyes>

Fuck you, you arrogant piece of shit. I thumb my nose at the people "allow" me to continue my existance? I thumb my nose at the people who "sustain" me? I live in San Antonio for one reason, and that reason is the doctors. I've been surrounded by the same group of health care professionals for the past 7 years. They've seen my ups, the middles, and my downs. How dare you suggest that I have anything but respect and care for these people. And how dare you suggest that THEY keep me alive. I keep myself alive, asshole. It's a two way road, and they've got one road covered very well.

These are people who, when I'm in the hospital, will sit in my room for hours with me and watch movies, play games, or just shoot the shit. Why? Because they're not just simply my doctors, they're my friends. I worry about them when they're deported to Iraq or Afghanistan, and they know quite well of how much I appreciate them and their work. In a nutshell, they're amazing.

So for you to say that I implicity thumb my nose at them over the sole reason I don't feel it's right to pay in excess of 20K+ a year in medical expenses based on income bracket is awfully fucking rude and ignorant.

I'd say I expected better of you, but I know better.
 

Loki

Count of Concision
HalfMastLoon:

<Sigh>

What a joke...but I'll indulge you anyway.


Yes, they could have affored 20k, but why should they have to pay more to "sustain" me, as you so rudely stated? To pay 20k+ on medical expenses IS a burden, no matter how you slice it. Don't give me the, "could have, easily can" garbage. You're not factoring in life with rhetoric like that. What if something tragic were to happen to my younger brother, or hell, any of my immediate family members during the time they pay 20K+ a year in medical expenses just to "sustain me." Imagine more costs incurred on top of that, and then it suddenly does becomes a problem, or like I said, a BURDEN.

Yeah, if your family somehow managed to incur an additional...oh...$90K in unforseen medical expenses during the same year they paid out a paltry (for them) $20K for your condition, then I could see it becoming a "problem". But since the chances of that happening are next to nil (a month's hospitalization will only run you ~$30-40K, not $90K), you're really reaching.

You say that I'm not factoring in "life" when I say that your family-- who earns in excess of $230K per year-- should have to contribute the relatively meager sum of $20K to help pay for the medical expenses you've incurred and the services you've availed yourself of. Doctors shouldn't have to be charity workers, and I'm sure your father (obviously a keen "businessman") would balk at the notion of being paid a mere fraction of what he's charging for his services despite the other person's clear ability to pay. But wait-- that's your father, and these are doctors. I forgot that they're not entitled to similar treatment; your father is special, and I'm sure he put in years and years of arduous work before he was making big bucks and that his job is as difficult or as specialized as a physician's is. Sure. But he's special...he's entitled to better treatment because he's Lonestar's father. These are the sorts of arguments implicit in your bogus rationale, whether you'd care to admit it or not; your thinly veiled sense of entitlement and silver-spoon mentality shines through quite clearly to those with eyes.


Yes, Lonestar, I'm not factoring in "life" when I assert that your affluent family should have to contribute $20K out of pocket to your medical expenses. I'm not factoring in a "life" that includes frequent dinners at fancy restaurants, a life that includes a sprawling villa for their cherished son, a life that includes a $30K fucking allowance-- listen to what you're saying, man. And you really think that anybody of good sense is going to agree with you?


Obviously, if some tragedy befell another member of your family, then that would be a mitigating circumstance which would have to be addressed; you'd likely be relieved of some of that $20K "burden" if such a (rare) thing ever happened. Nobody is suggesting that your family pay out half their ($230K+) income to cover multiple medical expenses for different members of your family. No. That would be foolish; what I state here is not foolish, however-- in fact, it strikes me as the most sensible and equitable way to do things for all involved parties. As it stands now, sure-- you're making a killing. But what of the doctors who treat you? Sure, they're not poor either, but are they being paid commensurate with their abilities? Certainly not. If you propose that they are, then I'd propose that your father is being grossly overpaid and should henceforth halve his salary for the greater good. Are they receiving the fee that they charge for their services? Certainly not, although in no other field is this considered acceptable. You've yet to clarify precisely why the medical world should be so vastly different from every other area of life in this regard. Why, because it's your life at stake? Yes, but people still have to do the job, and that job is prohibitively difficult to begin with; you're depriving people of their just rewards (on top of the obvious reward of seeing a closet ingrate such as yourself convalesce nicely while he entertains the implicit notion that these people do not deserve to be compensated in a manner similar to 99% of the rest of society).


So, no, all else being normal, $20K out of pocket each year for your family can in no universe be considered a "burden", unless your $30K allowance and other niceties are likewise considered "burdens". Spare me the misdirection, please. You're a silver-spoon, spoiled brat (with an attitude, to boot; anybody can attest to your abrasive posting style) who believes that the world owes his something-- no, wait, not the whole world, just the physicians. They are a category apart, for some as yet undisclosed and unjustified reason.


Yes, to be honest, I think it's perfectly fine. Sure, they can afford to pay the whole bill, but why should they have TO just because their check nets them more income? Whats makes my disease so much more important than families with low income that my parents have to take the money they work hard for and earn and use it cover the cost of bills?

Oh yeah, I forgot, my parents make more money. They should have to pay more to "sustain" me. What a ridiculous fucking idea.

It's not "just because they make more money", you tard, it's because they can legitimately afford to pay for a greater percentage of the expenses incurred. What would be unjust and immoral (and what you are trying to spin this as, unsuccessfully) is if physicians and hospitals charged one price for the rich and a lower one for the poor. That's not fair. But after a fee has been set for a service, and you've implicitly agreed to that fee because you've availed yourself of that service, then you should be made to honor that agreement to the best of your abilities, within reason. For a family who earns $230K, I feel that $20-25K is a reasonable amount to pay. You don't obviously, because, well, you're the one with the $230K. I wouldn't expect better from a silver-spoon, prattling child such as yourself. It might mean that daddy couldn't put away $60K in his mutual fund this year, or might <gasp> have to cut little Lonestar's allowance from $30K to $15K. HORROR OF HORRORS! We can't have that happening just to pay what he owes by way of barter. No...that would be unacceptable.


You're no better than some corporate crook who cooks the books to make another million for himself, believe it or not. Your sense of propriety and social justice are irredeemably fucked up. They have places for people who cannot afford health care, and they're called clinics. But what of those who can afford their care, but choose to abuse the system (I'm not saying you've done anything illegal-- it is the system, after all) in order to absolve themselves of all responsibility to meet their basic social contract obligations. Service rendered, service paid for. You paid $1000 on $100K of expenses? Your mother probably has dresses that cost more than that. I know your father definitely has the suits. Why do I care if they do? Well, I don't care, really, except when they refuse to pay sufficiently for services provided. And make no mistake about it, your attitude illustrates that, even if it were the law that folks in your position would have to kick in $20K for their expenses, your family still would bristle at the notion, feeling themselves to be entitled. Sane parents who value social justice don't raise an insane, unjust son. Your myopic selfishness heeds not the strictures of common sense or commensuration.


And just so you know, I'd be saying the same exact thing if your parents decided to procure the legal services of a skilled attorney, or commissioned a top-flight architect to build them a house, and then balked at paying their fees, all the while enjoying a cushy life in the lap of luxury. It's the same exact thing, and the same exact breach of proper conduct (ethically-speaking, not legally, given the current "system"), unless you can educate me as to why they're not, and why the notion of fee-for-service (again, within reason) persisted in the healthcare field until the last 10-15 years. Hint: if your answer doesn't contain the words "feelings of entitlement", you're aiming your arrow at the wrong tree. Sure, you can insist that there are free legal services available (though nobody will build a house for free, or for 1% of their asking price, I can assure you), but there are also free care clinics all over the place. Use them if you're that intent on not paying anywhere NEAR your due. Oh, what's that? The quality of care isn't as good there? No shit, sherlock-- that's because no self-respecting, sane person dedicates 7-10 of the best years of their life to rigorous training and incurs $200K in debt to be working for free. Your father would likely sooner cut off his left nut than do such a thing, yet this is precisely the mindset you and yours have vis-a-vis doctors. The quality of the legal counsel available for "free" is similarly shoddy, and if you manage to get a house built for free, you'd better not stay in it for long, because it's destined to crumble like a house of cards in short order. Agree to pay a restauranteur 1% of his asking price for an entree and you had better have a cast-iron stomach or not be in the mood for more than a modicum of food, because he'll either laugh at you or ensure that your meal gives you salmonella or mad cow disease. So, as you see, all these situations are the same, whether you'd care to admit it or not. You merely saying that they're not doesn't make it so.


I am no different than the kid who has the terminal illness from the family who makes only 30k a year. And just as I'm sure the poor kid and family wouldn't want to be treated and viewed differently, neither do I or my family just because they happen to make a lot of money. We shouldn't be asked to foot the bill based on a income bracket. That's discrimination, and if discrimination doesn't fly anywhere else, why should it be fly here?

LOL..."discrimination" he says. Oh, this is rich-- invoking the rhetoric of civil rights in order to cover for blatant greed and entitlement. Are you and your family eligible for food stamps, Lonestar? How about welfare? AFDC? And why do you think that is the case, then? Is that discrimination also? If not, then why not? I'll be waiting. Good luck digging yourself out of that one.


Again, why should you or a poor kid be treated differently if you both go to a 4-star restaurant? Why should you be treated differently if you wanted to enlist the aid of a nonpareil attorney? Why should you be treated different when you both have to pay the same water and utility bills (you can afford to pay, he cannot and thus his water and utilities are cut-- different treatment by the companies, no?) Why should you be treated differently if you both want a new BMW? Why should you be treated differently if you both want a Hugo Boss suit? Say "there are cheaper alternatives available for many of these things" and entirely miss the point (which would be unsurprising, given your penchant for such). There are also free clinics, and many physicians do low-cost or free work on the weekends of their own accord etc. The situation you defend is the exact equivalent of making all restaurants into a Burger King, of making all fine clothing into cheap knock-offs rather than garments of impeccable quality. Instead of allowing those physicians who desire to do pro-bono work, either full-time or on the side, on a charity basis, you're condemning them all to the same fate, not allowing any of them to earn livings proporationate with their expertise. I don't know about you, but that sounds an awful lot like communism to my ears (minus the loss of property, obviously)-- allowing no man to rise above another. You should be ashamed of yourself, but you won't be-- you are, after all, possessed of a vacant mind.


Can you justify your beliefs, Loki? Can you honestly tell me these are YOUR beliefs? The restuarant analogy is fucking stupid

Yes, I can, and yes, they are. And no, it's not. Thanks for playing, though.


Watch how easy this is:

Lonestar is "fucking stupid". See? Simple. Doesn't make it so without some proof; luckily for us, ample evidence of your fatuity is on display in this very thread, so there's no need for me to create some kind of "Stupidity Syllogism" which would undoubtedly implicate you in a most unfortunate manner.


If they're not my beliefs, then whose are they? What, pray tell, are you suggesting? I can say with absolute certainty that I've spent more time in my life pondering what is fair, and the nature of justice, than you have. Sure, go right ahead and say that that's pretentious of me (because surely such a comment is on the way) even though it's merely a statement of fact; one which doesn't necessarily make my conclusions towards those ends correct, but one which certainly speaks against your attempt to make like I somehow copped another person's beliefs and ran with them.


So I ask you, Gnomecar, are these really YOUR beliefs that we have in front of us? Or are they merely a rank regurgitation of the prevailing climate of entitlement and ubiquitous lack of reason in our present day? You've been spoon-fed by MTV and other vacuous sources of entertainment and "education" your entire life, and yet you seek to tell me that my conceptions of propriety are somehow malformed? Sorry, but no.


How the fuck is he suddenly stricken with "selective amnesia"? I doubt he opens up the bills, looks at the cost, and goes, "Fuck, I've made lots of money being successful in this great, free market -- but damn, it's bill time. I guess I'll just forget about all that and dutifully pay before my conscious weighs down on me and I realize that I should be paying more than an average family just so I can "sustain" my son."

What I imagine happens, though, is this. He gets the bill, looks at the costs, opens up his checkbook like so many times before, and sends the check off to its merry way. Him making "bones" in the free-market probably never enters the thought equation. But, hey, you're Loki, and you're the king of reading minds and deciphering what's right and wrong.

It's implicit in your rationale, and likely in his-- though I will admit that I cannot judge him too harshly in this regard unless I know his personal beliefs re: these matters. If he just pays the $1000 out of $100K because that's all that's asked of him, and doesn't consider it any more deeply than that, then that's fine. But if he houses even a scintilla of the absolutely indefensible rationale which you've presented herein, then he is likewise egregiously wrong. There really are no two ways about this.


And yes, I'm quite good at "deciphering right from wrong", though the least you could do is make it somewhat challenging by providing a cogent, persuasive argument. Make me work for my "rep", Lonestar. Nobody of good sense is in here coming to your aid, and that is because nobody of good sense-- liberal or conservative-- would argue against the notion of those who can afford to pay for a service doing so, within reason. And $20K is definitely "within reason" for a family earning upwards of $230K per annum. But don't worry-- enjoy your $30K yearly allowance while the insurance company rapes the hospital by paying them $20-40K for $100K worth of services. Oh, excuse, me, I almost forgot-- that's on top of your hefty $1000 personal payment. What a terrible oversight on my part. <rolleyes>


Fuck you, you arrogant piece of shit. I thumb my nose at the people "allow" me to continue my existance? I thumb my nose at the people who "sustain" me? I live in San Antonio for one reason, and that reason is the doctors. I've been surrounded by the same group of health care professionals for the past 7 years. They've seen my ups, the middles, and my downs. How dare you suggest that I have anything but respect and care for these people. And how dare you suggest that THEY keep me alive. I keep myself alive, asshole. It's a two way road, and they've got one road covered very well.

These are people who, when I'm in the hospital, will sit in my room for hours with me and watch movies, play games, or just shoot the shit. Why? Because they're not just simply my doctors, they're my friends. I worry about them when they're deported to Iraq or Afghanistan, and they know quite well of how much I appreciate them and their work. In a nutshell, they're amazing.

<hold on, lemme wipe the tear from my eye>

And yet you implicitly have no respect for them, in the context of social justice, based upon your absurd and indefensible statements. My point stands. Fuck you, you braindead douche. Cogent reasoning is clearly beyond your ken.



Allow me to speak to a larger, related point:


Not to delve into the realm of partisan politics, because I honestly couldn't give a shit less about either party, but I feel that Lonestar's obstinate diatribe illustrates the profound culture of entitlement we've spawned in this country to the exclusion of reason and good sense. Far-left democrats are always crying about healthcare, and, to that end, I feel that such a plan as I proposed earlier would alleviate a lot of the injustices and wrongs inherent in the present system (e.g., access to care, affordability for those of lesser means etc.) which democrats typically seize upon as a rationale for implementing socialized medicine. They buttress their arguments with such facts as "44 million Americans not having health insurance", ever-blind to the fact that, firstly, a great many of these people can actually afford coverage if they so desired-- they'd just rather have that big screen TV, or nicotine/alcohol habit, or new $120 shoes every month, or multiple cell phones, or broadband, or $50K cars, or any one of a number of luxuries. Go talk to any emergency room physician in a major city and they will provide you with hours and hours of anecdotal evidence of people possessing such luxuries claiming to have no medical insurance when they come into the ER.


Now, if we (democrats, that is) are to assert that healthcare is a "right", then it must also be a "necessity" (the notion of the former is bound to the latter, though not in converse; I've illustrated such hypocrisy in this very thread re: water, food, shelter, and utilities). And in my mind, "necessity" trumps "luxuries" any day of the week. So how, then, can it be justified that people should not only be allowed to spend on luxuries before necessities, but that it should be condoned by society and made the law of the land via sweeping socialized reform? A system such as the one I proposed would still address the issues of those who have legitimately fallen on hard times and cannot afford to pay for whatever reasons; it would also, as I mentioned, be more in line with the general ethos of our society (though that capitalistic, meritocratic ethic and sentiment is slowly being eroded by the encroachment of our entitlement culture, but I digress). And yet in this very thread we have a clear example NOT of an inability to pay for services rendered, but merely an unsubstantiated desire not to. If our guiding maxim is to be humanity, then socializing things would simply shift the inhumanity to a different sector (the providers, mostly) rather than adequately address it for everyone and bring about a just and sensible state of affairs. And those feelings of humanity, and compassion, are what largely inform our desire to aid the indigent; if we desire to do that, then why not simply enact a plan similar to the one which I proposed?


How would socializing medicine undo that sort of poisonous entitlement mentality (see: Lonestar) that hangs like a miasma in the collective air of our culture? Indeed, such a skewed sense of entitlement and lack of good sense is not to be countenanced even in the personal sphere-- much less should it be influencing policy by its clamorous (yet unreasonable) cries. I posit that the injustices which would result from socializing medicine (for both practitioners AND patients, though I've only spoken to the practitioner side here, since a discussion of the failings of socialized medicine would've necessitated another 20 pages of text :p ) would far outweigh whatever social justice you think you'd be achieving for the general populace. For the true benefit of universal care is that nobody would be denied care, regardless of an inability to pay; yet the same would be true under my more modest and reasonable system, would it not? This is to say nothing of the bungling bureaucracy which is sure to result whenever the gov't gets it paws into ANYTHING, much less something as broad as the medical field (my plan would have far less bureaucracy, too :p). Why not strive for the good of socialized medicine without the bad, then? Why not seek alternative solutions which would mitigate the deleterious effects and injustices which inhere in a socialized system? The fact that such searching for ideas is not being done only adds to my (perhaps irrational) suspicion that socialized medicine is a mere trojan horse of the welfare state, which will do more harm than good, and that this much is known to those who would institute it, yet they are silent as to its evils.


If any of the more lucid democrats on the board care to speak to these issues, then I'll at least read it (and appreciate it), though I can't promise that I'll comment on it-- I've already dallied far too long here. :) I won't be making any further posts in this thread regardless.


EDIT: And I also apologize for my tone to you, Lonestar, but I didn't really appreciate your "What do you think of Loki?" poll at OA, with the choices consisting of:

A) A condescending prick
B) An asshole
C) A dick who talks behind people's backs

(or something along these lines)


So...yeah.
 
LOL..."discrimination" he says. Oh, this is rich-- invoking the rhetoric of civil rights in order to cover for blatant greed and entitlement. Are you and your family eligible for food stamps, Lonestar? How about welfare? AFDC? And why do you think that is the case, then? Is that discrimination also? If not, then why not? I'll be waiting. Good luck digging yourself out of that one.

My family isn't. I am, though, and have used those services in the past. Welfare? No. But SSI and food stamps? Yes.

Doctors shouldn't have to be charity workers, and I'm sure your father (onbviously a keen "businessman") would balk at the notion of being paid a mere fraction of what he's charging for his services despite the other person's clear ability to pay. But wait-- that's your father, and these are doctors. I forgot that they're not entitled to similar treatment; your father is special, and I'm sure he put in years and years of arduous work before he was making big bucks and that his job is as difficult or as specialized as a physician's is. Sure. But he's special...he's entitled to better treatment because he's Lonestar's father. These are the sorts of arguments implicit in your bogus rationale, whether you'd care to admit it or not; your thinly veiled sense of entitlement and silver-spoon mentality shines through quite clearly to those with eyes.

My father has done a lot of "charity work" for friends and family who are able to pay. He'll find a company a specific position just because he enjoys his work, the company, and their employees. And at what cost? Most of the time it's zero.

He'll be up all weekend designing websites, free of charge, for companies. Why? Because he enjoys that type of thing. I've seen his fees, they're not overly expensive, and he doesn't believe he's entitled to special treatment. He's worked his way up the ladder to the position he's currently at, and people respect that.

I really, really don't appreciate your words about him, Loki. $1000 suits? He's never worn one. Quit painting him as some oppurtunistic, greedy, corporate crook -- when he's anything BUT that. You haven't been at the conventions he speaks at where he's teaching hundreds of people how to attack the job market, and at what cost?

Free.

Call me whatever you like, but quit painting him in a bad light.
 

Loki

Count of Concision
HalfPastNoon said:
My family isn't. I am, though, and have used those services in the past. Welfare? No. But SSI and food stamps? Yes.

And yet it is not you, but your family who covers your medical expenses. You do not pay for your own insurance, but rather are taken care of by theirs. Again, spare me the redirection. My name isn't "reirom".


You've used food stamps just because you're a 19 (or whatever) year-old who really wants to live on his own, while it would be just as easy for your to stay at home like most other kids your age do and have meals with your family, or even just stop by the house for meals once in a while? Jesus...you're seriously fucked up. It's nice to know that my father's tax dollars are being used to subsidize a person who gets a $30K allowance and a deluxe apartment to live in just because his mother doesn't want to cook for him, or because he "doesn't want to put his family out". Get a part-time job in addition to your $30K allowance and you'll have MORE than enough to buy yourself food, considering that your rent is already being paid. Jesus...talk about no scruples. Yes, honest, hard-working people like my father should have to pay for you. Not your parents, but my parents. Sure LS, whatever you say. Yet another shocking display of entitlement and lack of good sense. Hopefully one day your mom will give me the courtesy of a reach-around as a belated "thank you", or maybe your dad will wash my car. <rolleyes>


What a goddamn joke dude. Get a fucking grip and grow a brain, for the good of us all.


Lack of social justice-- let this be a lesson to people. This is what we've created in this country, from the poorest person all the way up to the most affluent among us (yes, even more affluent than Lonestar's family-- even corporate crooks making tens of millions of dollars still bend the rules due to feelings of entitlement).


But whatever, I'm done with you. Anybody with half a brain will see right through you, and will realize that your professed mentality betrays a profound lack of discernment. Everybody bow down to Lonestar and his family-- they're "special" (Lonestar in more ways than one). They deserve unlimited accommodation and aid despite being capable of total self-sufficiency. God...


EDIT: And about your father, like I said I can't judge him too harshly because I don't know his rationale (whereas I certainly know YOURS). And the only reason I "painted him" a certain way was because that sounded consistent with the otherwise opulent and extravagant lifestyle you've posted about on the boards, and is also in keeping with his income level. Ok, so scratch the Armani suits, and let's just say that he puts $80K away each year in his mutual funds instead. The money has to go somewhere, right? My points still stand, and this doesn't change anything. Your attitude herein has been shocking, and quite frankly repulses me. I've never insinuated that your father was a "corporate crook", though I did use the words "your father" and "corporate crook" somewhere in the same lengthy post; given your level of comprehension, I can see how that would confuse you.


fart:


I disagree. That's not all that's important. Yes, I obviously don't want to see LS dead despite our disagreements, and in my ideal world he would never be allowed to perish simply due to a lack of medical care for whatever reasons. All I've been addressing herein are the related issues of social justice and social conscience, which should be of paramount importance to anyone who is not solely looking out for themselves at the expense of everyone else. That's just how I see it, and I am quite capable of justifying those beliefs. But yes, I am happy that we live in a country where trained, caring professionals will ensure the survival and health of people like Lonestar despite being paid, in many instances, a pittance, or a fraction of what they're asking (I do have compassion, after all). I am happy that he's alive and well (believe it or not based on my tone :D), but that doesn't make the whole situation acceptable or desirable or proper by any stretch-- that's all I've been saying. His "not dying" may be the most important issue, but it is far from the only issue, especially when considering the broad nature of these problems and the effects they have.


This also has nothing to do with the fact that I am trying to go to medical school, as I said earlier. Not that you implied as much, but I'd just like to make that clear-- after all, I'm obviously well-aware of the evils of self-interest and how such motives can be easily ascribed to people, and I wouldn't very well be able to speak against mere self-interest if I was speaking from it. I just have a vision of how society should be, and whatever doesn't conform with (and especially that which is grossly incongruous with) such a just society shall be spoken against in clear terms. I'm sure you've seen me wax philosophic on a number of other topics unrelated to the one at hand-- at great length, mind you-- and that should let you know that I am concerned with fairness and justice rather than mere self-interest (as opposed to people like Lonestar). But honestly, I really don't have to defend myself, because I've always been consistent in my views and vocal in my condemnation of unjust scenarios across the board, in many areas of life.


Like I said to Slurpy earlier, I'm just opinionated like that. :p :)
 

White Man

Member
From experiences over the past couple years, I've known I could fineagle free health care when I need it. I've gotten free MRIs. I've just had to wait a few months.

Now, affording prescriptions -- I can't do it. I'm about to run out of a rather important one, and I can't come close to paying for a week's supply, let alone a months. I'm just going to have to hope I could deal until I find a job willing to give me health insurance.

EDIT:

Well that's the last time I make a substantial post on this forum. ;) :p


I guess that's why one-liners and quips seem to be so popular around here.

Seriously. I've shortened my posts over the past 2 years. It's really not worth the trouble when most of the people won't even read it.
 
You've used food stamps just because you're a 19 (or whatever) year-old who really wants to live on his own, while it would be just as easy for your to stay at home like most other kids your age do and have meals with your family, or even just stop by the house for meals once in a while? Jesus...you're seriously fucked up.

Actually, I'm 21. And once again, you've arrived at conclusions that simply baffle me. I have sunday dinner with my parents every week, along with my brother who also joins in. Their house is a grand total of 7 miles from mine, and my father was just here a few minutes ago.

I didn't take their money and run. They asked me if I would like to move out, they asked my brother the same. I haven't asked ANYTHING of them. I'd be perfectly fine if I still were living at home.

Also, everyday, I eat lunch with my grandparents who live across town.

I'm fucked up, though.

<ROLLLLLLLLLEYES>

I know you're getting off on this, as this is your speciliazed field and all, but damn, get a fucking grip. Sure, I'm not going to be able to best you in a healthcare debate, and I don't really give two shits, but here's my stance:


I DON'T THINK IT'S RIGHT FOR MY FAMILY, SIMPLY BECAUSE OF THEIR INCOME, TO HAVE TO PAY MORE FOR SERVICES RENDERED.

Let's go back to your restuarant analogy, asshole. My family, because of their INCOME, OH NOES, eats the same meal as the lower class family sitting next to us. However, our check is larger just because we can afford it.

Does that sound fair?

No, it doesn't. And neither does paying more for healthcare simply based on a income bracket.
 

Loki

Count of Concision
White Man said:
From experiences over the past couple years, I've known I could fineagle free health care when I need it. I've gotten free MRIs. I've just had to wait a few months.

Now, affording prescriptions -- I can't do it. I'm about to run out of a rather important one, and I can't come close to paying for a week's supply, let alone a months. I'm just going to have to hope I could deal until I find a job willing to give me health insurance.

EDIT:



Seriously. I've shortened my posts over the past 2 years. It's really not worth the trouble when most of the people won't even read it.

Yeah, the prescription drug racket is another gross injustice that needs to be addressed imo. Some of it is the fact that we largely subsidize the R&D of most of the new drugs that come to market around the world, but a lot of it is just good 'ole greed. Just so you know, in this topic I was expressly referring to the situation vis-a-vis physicians and hospitals, not prescription drugs and their exorbitant prices. :)


As for the length of my posts, well, I see what you're saying-- I just feel that if I want to say something, it's worth stating properly and fully, to do justice to my own thoughts. I would expect no less from anyone else, though they may not be able to sit there and type for as long as I am, and may thus make concessions to their impatience. ;) :p
 

White Man

Member
Well, I'd probably still be more verbose, but my keyboard lacks an 'm' key. There's just a little rubber nipple there and it's a pain to type. I often find myself avoiding words with 'm's in them.
 

Loki

Count of Concision
HalfPastNoon said:
Actually, I'm 21. And once again, you've arrived at conclusions that simply baffle me. I have sunday dinner with my parents every week, along with my brother who also joins in. Their house is a grand total of 7 miles from mine, and my father was just here a few minutes ago.

I didn't take their money and run. They asked me if I would like to move out, they asked my brother the same. I haven't asked ANYTHING of them. I'd be perfectly fine if I still were living at home.

Also, everyday, I eat lunch with my grandparents who live across town.

I'm fucked up, though.

<ROLLLLLLLLLEYES>

I know you're getting off on this, as this is your speciliazed field and all, but damn, get a fucking grip. Sure, I'm not going to be able to best you in a healthcare debate, and I don't really give two shits, but here's my stance:


I DON'T THINK IT'S RIGHT FOR MY FAMILY, SIMPLY BECAUSE OF THEIR INCOME, TO HAVE TO PAY MORE FOR SERVICES RENDERED.

Let's go back to your restuarant analogy, asshole. My family, because of their INCOME, OH NOES, eats the same meal as the lower class family sitting next to us. However, our check is larger just because we can afford it.

Does that sound fair?

No, it doesn't. And neither does paying more for healthcare simply based on a income bracket.

Weak. Try again.


You have the means to pay for services rendered, and yet you persist in your shallow, ill-considered mentality. Nowhere else is this considered acceptable behavior, but whatever. You speak of "discrimination" if you were asked to pay more of the bill just because you have more, but I assert that discrimination is already taking place-- the providers of your (and everyone else's) care are being discriminated against because they are being considered "a class apart", not entitled to the same protections and compensation schemes that the rest of society is. So if there is a choice between people who are actually working to provide a service being discriminated against, and those who are taking advantage of that service and can afford to pay (which is a small % of the people-- people like Lonestar) being discriminated against, then I'll take the latter any day, if only because the former are the producers, and the latter are merely users. In the event that their interests conflict, priority should be given to those who are doing the work, in the interest of good sense. But this is a moot point, because their interests ARE NOT conflicting, because as I said earlier, the well-off are not being discriminated against, being that they're charged the same price, but can simply afford to pay more of that price.


Again, you've used food stamps, paid for by MY parents, just because your $30K "allowance" wasn't enough for you. Nevermind the fact that you could just get a small part-time job to pay for meals, or that you could live in a more modest abode (post the pic, Lonestar, let everyone see where a foodstamp user lives)....no, no, let's forget all of that. Lonestar is entitled.


Whatever. Persist in your foolishness if you desire to; I've tried to educate you as best I can. Unfortunately, I can't counteract the effect that an entire culture has had on you over the years. Btw, it's hysterical to see that you're a "democrat" when it suits you, but change hats quickly into a conservative when it comes to your own wallet. Amusing.


I desire consistency, fairness, and justice. Your justifications contain none of these, being laced, as they are, with hypocrisy and obfuscation of the pertinent issues. Good day.
 

Dice

Pokémon Parentage Conspiracy Theorist
HalfPastNoon I don't think you are understanding Loki's heart behind his ideas. I don't care if you agree with him or not, but at least try to disagree with him on the real principle he is presenting here. He isn't saying that richer people should pay more for medical services just because they are rich, but it's an entrely different way at looking at medicine altogether. The way he is looking at it is that these are the issues...

1) The system can help people with their current medical abilities
2) It costs money to do so
3) Not everyone has the amount of money to cover what they need
4) Everyone is treated anyway, whether they can support the system or not
5) This drives up costs for everyone, including the rich, but mostly hurting the poor financially
6) It drives up costs even more when people who could actually support the system only take advantage of it.

And the best way to fix it is to not look at it from a "services rendered" type of perspective, but look at it from the perspective of the well being of everybody. Everybody receives the medical help they need and everybody financially helps keep the system alive according to how much they are able to. You would say you don't think your family should pay more just because they earn more, but many poor people would say they shouldn't have to be crippled by debt just because they didn't feel like dying on an unfortunate day.

Am I right on this Loki? Thats at least what it sounds like you mean.
 

Lord Error

Insane For Sony
Loki, I honestly cannot believe that you are arguing to this depth and nipicks about healthcare system, with a guy who in all likelihood owes his life to it - instead of, I don't know, being happy that it's working out for him. Regardless if you are right or wrong, it just strikes me as a bit inhuman...
 
You simply don't understand, Loki. If I were to get a job that paid me over 6k a year, I'd lose my dependacy status, my SSI, my foodstamp rights and would be forced to find new insurance that I would have to pay for. Tell me, do you know how hard it is to find a job that suits my needs and schedules? Why do you think I worked with my dad for two years?

Don't you worry, though, my goal in life is to pay my parents back everything they've ever given to me and done.

"Used those services in the past."

I haven't used food stamps since I was 19 turning 20. Which was, concidentally, before my allowance started. I still recieve SSI, though, as THAT IS entitled to me.

So, when I go to eat later tonight, should I come equipped with my bank statements so the resturant and waiter is given an idea of what to charge me?

Is that fair? Should I pay more for my food? Should I, Loki?

You never answered that.
 

Loki

Count of Concision
Marconelly said:
Loki, I honestly cannot believe that you are arguing to this depth and nipicks about healthcare system, with a guy who in all likelihood owes his life to it - instead of, I don't know, being happy that it's working out for him. Regardless if you are right or wrong, it just strikes me as a bit inhuman...


Umm, I already stated that I'm happy that it's worked out for him. I'm not speaking of his outcome, but rather of whether the system is sensible or sustainable as presently constituted. If you want to paint me as inhumane, then that's your prerogative-- all I can offer is my word now, and my previous assurances, that I'm not. You can't see my heart online, can you? But you're free to do as you wish.


It has nothing to do with Lonestar; I've only used details of his personal experiences as examples because they are well-suited for the discussion at hand. I also got into it with DJ Demon J, despite the fact that he is not chronically ill like Lonestar; this should tell you enough about where my values are. Impugn my motives if you like, but that's the truth.



Is that fair? Should I pay more for my food? Should I, Loki?

You never answered that.

It's a red herring, so I'm not going to answer. First you must justify why the healthcare field should stand apart from every other area of life in terms of compensation for services rendered, even apart from the provision of (by all accounts) more basic needs such as food, water, utilities and shelter.


I also find it amusing that, 30 years or so ago, nobody would have ever dreamed of invoking the word "discrimination" and the specter of civil rights in insisting that-- despite their ability to easily pay the fee being asked by a service provider-- they should not have to pay just because people of lesser means are afforded programs whereby they don't have to. And this is because in those halcyon days, most people still valued reason, clarity of thought, good sense and decency over such sophistry and entitlement as we witness today (see: Lonestar). And this is because of the profound cultural shift that I've alluded to in many of my posts, and which has infected every crevice of society. The managed care explosion, in particular, has dramatically altered people's perceptions as to what is "fair" and has created a mentality that everything should be "free". This is specious nonsense.


Why is it not discrimination when the poor get subsidized housing, Lonestar? Why is it not "discrimination" when they get welfare? After all, that $500 per month would look good in your pocket also, despite your lack of need. And yet here you are defending the notion that the poor being given a helping hand in the healthcare field is equivalent to discrimination against those who are making in excess of $230K per year (indeed, that it's discrimination against everyone who would be paying out of pocket, not just the rich). Well then all I ask for is consistency; if that is to be your guiding maxim, then it must hold across all of society-- we must abolish welfare, subsidized housing, and need-based scholarships and stipends as "discriminatory", because the rich are not getting them as well. Consistency, Lonestar, consistency. You can say that I'm putting words in your mouth, but please realize that in order for you to be at all consistent, you'd have to consent to each and every one of the above proposals and more.


I, on the other hand, have been nothing BUT consistent in my views, and that is because my guiding principles have nothing to do with "discrimination" (I still can't get over how farcical your employment of this term under these circumstances is, really) and everything to do with justice and good sense (both of which are inherently consistent).


As for your situation, well, I fail to see how your $30K per year stipend from your parents doesn't cover the cost of living out there. Hell if the rent was paid for (as yours is), $30K would be sufficient to live here in NY, for crying out loud. So don't expect me to sit here and let you off the hook in that regard, or to feel sorry for you. If you need more money, open up a lemonade stand for all I care-- surely that can be worked "around your schedule" somehow. All I know is that nobody in your position should be sucking on the public tit beyond your medical expenses (recall that I only said you should be paying $20K, not the full $100K, and so you'd be subsidized as well under my system). The fact that you're even trying to justify receiving food stamps, with your rent paid and a $30K allowance each year while you do God-knows-what with your time is quite shocking, and indicative of your tremendous biases. My friend makes $41K per year here in NY, and lives in a $1000/month single bedroom apartment in Brooklyn (nothing comparable to your luxury suite, obviously). Take the $12K for rent away each year and he's left with <gasp!> $29K...just like you are (he's taxed also, whereas your money is placed into a savings account and thus not taxed). Yet he's never even entertained the notion of getting food stamps or SSI, and that's because he's not a spoiled little bitch like you are, and he has some scruples about him.


Public assistance should be for those who need it, not for those who merely "want" it. You don't "need" anything dude...



Dice:


That's a fair synopsis of my stance (heh, you snipped about 15,000 words off :D), with a few caveats. I'd lay the reality of the matter out like so:


Given: Injustices exist in the present system, most notably no access to care and lack of affordable care for the indigent and lower-middle class. Of particular concern for the middle-class is the so-called "catastrophic coverage" issue (I'm middle class, and I know a LOT of middle class families and people, and to a person, they almost exclusively worry about that one issue). Middle-class families do not want to lose their life's savings, or their homes, just to cover their medical costs in the (rare) event of an unfortunate accident or illness where hospital bills would greatly exceed their means to pay.


Now, in attempting to address these injustices (since it behooves us to), we have before us several possible solutions:


1) A fully socialized system-- this would be unworkable and unjust for many of the reasons scattered throughout this thread; to adequately fund it (since the professionals providing the care are not slave laborers and are entitled to commensurate compensation) would require all of the following measures imo (allow me to quote myself):

If we as a nation desire socialized medicine along with social justice (in my personal moral schema, justice trumps mercy every time, as I feel mercy to be subsumed under justice, but room can be made for both ), we should collect the estimated $35-75B (yes, "billion" with a "b") we lose each year in corporate and personal taxes due to offshore banking, compel the astounding 95% of US-based and 50% of foreign-based corporations who incredibly pay no income tax at all on their earnings (wouldn't we be in jail if we did that?) to finally do so, and, lastly, actively seek out and deport all illegal immigrants who would be a drain on the system (by not being part of the tax base) and commit massive fraud (at least here in NY; I assure you I'm no xenophobe, to preempt any comments in that regard). In addition, we need to rein in our out-of-control medical malpractice system, which would cut physicians' ludicrous malpractice premiums (in theory), resulting in more take-home pay. Some specialists such as ob/gyn are paying upwards of $130K/year for malpractice insurance in some states, and that is an absolutely indefensible state of affairs. Take a bit from our military budget (several billion dollars is still just "a bit" when considered against that budget), and voila.


All such steps and more would be necessary if one is to institute both a fair and sane nationalized healthcare system. Can you see even a single one of those things happening? Because I sure can't. And it's for that very reason that I cannot in good faith support truly socialized medicine

As to why these things should necessarily be fixed before healthcare is, well, it's simply because these issues affect many more people in all spheres of life. Corporate malfeasance, tort costs (2.3% of our GDP at last count; $830 per person per year), the burden of illegal immigration along with the social ills that it engenders (from job loss, to hidden costs, to an embittered populace etc.)....all of these are far more pressing than the present health care "crisis" and have far wider-reaching systemic effects imo. Also, enacting these reforms would provide ample funds for socialized medicine, with a surplus likely. The point is to do what you should do first before you do what you merely want to. Particularly in light of the fact that in doing these things, there will be no injustice done to anyone, whereas in socializing medicine (unless strict measures such as these were taken in ensuring its viability) you're inflicting a major injustice upon a segment of society (the providers) and many other injustices upon patients as well (which I won't get into).


In addition, there are many ills of a socialized system which are beyond the scope of this thread, but which can be found with little effort online if one has the initiative. These include patient's rights issues, the fact that the many would have to subsidize every bad decision willfully made by others (see: addictions of various sorts), quality of care, availability of diagnostic equipment and personnel, as well as healthcare worker compensation (physicians, nurses, PCT's etc.). Under no circumstances, in a just and sane world, should a physician of any sort be making $80-90K, yet these are precisely the sort of conditions which obtain under socialized systems (read about the numerous physician strikes in Britain and France, for instance, where neurosurgeons in some instances are being paid the same as postal employees-- is that justice? I think not). This is to say nothing of the patient-care related ills. My point is that if you can address those patient-side issues while still having adequate compensation for healthcare professionals, and while still honoring the general ethic of our society, then why is that not preferable to a system where their needs are cast aside? Just because people like Lonestar don't want to pay what they owe by way of social contract? That's bullshit imo.


2) We could implement a sliding deductible scale such as the one I proposed, which I feel that nobody has adequately criticized, and so I cannot offer a refutation of its possible weak points beyond what I pointed out in the original post (e.g., that people would be paying twice, though they did that for decades without crying about it). It was also conceived of in great haste, and so would likely have to be refined a bit before being implemented (not as if it's ever going to be, but hypothetically-speaking :D).


3) We could keep the system as-is while extending further assistance to the impoverished and those otheriwse unable to pay for their care. This is untenable because the system is already breaking down under the current paradigm due to people like Lonestar (in his foolishness) and, yes, my own parents (in their ignorance; see my original post); people have (erroneously, as I've shown) come to view healthcare as a "right", regardless of the fact that you cannot have a right which can only be exercised through the toil of others. Moreover, with the way the system has evolved, most people just don't understand how the insurance companies operate (which is basically extortion) and the evils that they inflict upon physicians and hospitals. In case you didn't catch it the first time, feel free to read this site, written by an actual physician, to understand the gravity of the situation and what it has meant for both providers AND patients. This is not an isolated incident. Between an out of control malpractice system which mandates malpractice premiums from doctors in excess of $140K per year in some instances (and this is for docs who've never even been sued), and declining reimbursements from all major carriers, doctors are being squeezed needlessly, and having the life that they've worked so hard for slowly slip away. Many have relocated, and others have left medicine entirely; hospitals are closing up shop all over the country. Is that just? No.


And mind you, I've always said these things, even when I was 19 or 20 years old, which is about 4-5 years before I realized that I wanted to become a doctor. People are obviously free to not believe that, but I've always had an eye towards justice in society, and have always felt that this was one area where it was not being attained.



So as you can see, we have a seeming choice between the present injustice of the poor lacking care and the possible future injustice of a socialized system with all its attendant ills, as noted. The reasonable compromise would almost of necessity have to look something like what I've proposed, and its injustices are minimal (despite what Lonestar would have you believe with his "discrimination" rhetoric). I simply feel that it's the most sensible option for our society; one where the injustice would not merely be shifted to a different sector, or changed into a different type of injustice (no care presently for the poor vs. shittier care for most everyone later doesn't strike me as justice either), but would largely evaporate. I fully stand behind it after having considered all the relevant issues, as it strikes a sensible balance between humanity, practicability (for both patients and providers), and the capitalistic milieu in which we live.



And with that, I'm seriously done with this thread. Out of curiosity, I just did a word count on my posts-- 16,237 words; at 12-font, double-spaced, that's 70+ pages worth. Maybe I can just give this to BuddyChrist? ;) :D See? Never let it be said that I'm not looking out for others. :p


Man, I have tons of stuff to do. Blast this accursed board. :(
 

Loki

Count of Concision
You can't read, so it was no big stretch for you. :D


At any rate, your loss.


EDIT: In the interests of fairness, I should admit that I did not read the part where you said that you used food stamps only prior to the beginning of your "allowance" (more like a salary :p). Still, however, it doesn't really change things because your family had ample money even a year or two ago (I recall your posts), and so similar ethical arguments can be made against your use of them (since you had the means), despite its legality (i.e., you being on your own, having no job etc., which ostensibly meets the criteria for food stamp approval).
 

Trasher

Member
STOP! THINK OF YOUR POOR FINGERS! They must be getting sick of typing so many frggin words! And sore fingers don't play games too well. Remember Halo2 is almost here so give the fingers a break! :D


Edit: By the way, MAF, how are the ribs? I suggest the ER, Loki knows what hes talking about.
 

Loki

Count of Concision
Trasher said:
STOP! THINK OF YOUR POOR FINGERS! They must be getting sick of typing so many frggin words! And sore fingers don't play games too well. Remember Halo2 is almost here so give the fingers a break! :D


Edit: By the way, MAF, how are the ribs? I suggest the ER, Loki knows what hes talking about.


Heh, it's a good thing that I haven't played games regularly for about 5 or 6 years now, then. :p


And yeah MAF, how are the ribs? :) Sorry for nudging your troubles out of this thread in a roundabout way. :p
 

Loki

Count of Concision
In closing (well, my fifth or sixth "closing", at least :D), allow me to totally obliterate Lonestar's imbecilic "discrimination" rationale (even further than I already have):


First, allow me to say that 20-30 years ago, those of greater means (i.e., the "rich") did, in fact, pay out of pocket for their care, within their means; this was when catastrophic coverage was the dominant model. So if, in 1981, a person making $250K per year (~$550K nowadays) needed an emergency surgery, and the bill came to $2500 (about $5500 now), they did pay for those bills out of pocket. If a poor person incurred those same costs, obviously they paid less based on their means, and their catastrophic coverage (note: "catastrophe" is different for each person, as is my point) picked up the rest. Never did a "rich" person invoke the rhetoric of civil rights (i.e., "discrimination") in order to assert that he should not be made to pay any more out of pocket than a person making $10K/year ($~22K now) was paying. This is because our entire culture was different, and there were generally more people of good sense (this is different from intelligence). Nobody would ever dream of saying such a thing back then, because it's prima facie foolish and indefensible, and yet nowadays it's heard with increasing frequency from the dullest among us (see: Lonestar). There are many reasons for this, and, quite honestly, I'd like to keep things within the ambit of the thread as far as possible, so I won't elaborate (for seemingly the first time in my life, I know ;) :p ).


But let us ignore all this and instead focus on the present, because any examples which would serve to disprove Lonestar's idiocy would be more forceful if drawn from our own day and age. So let us take a gander at Medicaid:


Those eligible for Medicaid (whoa! "Eligibility" requirements!? I smell me some discrimination :D) currently pay a grand total of $0 towards their medical care. So if Joe Smith on Medicaid needed the same exact treatment as Lonestar did, he'd be paying $0, while Lonestar paid $1000 (still an indefensibly paltry amount, mind you, but it's still something). This is in addition to what I'm sure is a very handsome insurance premium which his father pays, and which Joe Smith doesn't have to. Under Lonestar's spurious line of thought, the more affluent should not be "penalized for making more money"-- yet this is precisely what is occurring right now. Joe Smith pays nothing while poor Lonestar (he of the $30K allowance and palatial estate) has to pay $1000. In his view, that's discrimination right there, and yet it's something that strikes most sensible people as just and proper-- after all, people can't pay with what they don't have, correct? So I posit that Lonestar should petition the government to make EVERYONE eligible for Medicaid, regardless of income level-- even multimillionaires should be eligible; after all, we wouldn't want any "discrimination" floating around, would we? <snicker> Why don't you head on over to Capitol Hill and float that idea by the congressmen; I'll be waiting here when your dispirited, sorry ass is inevitably laughed out of the building.


I can do this all day; what of need-based scholarships? Are these discriminatory as well? Are they to be done away with, or, more farcically, extended to everyone regardless of income? After all, a lower-class kid who did well in school and was accepted to Princeton has absolutely NO CHANCE of going there unless he's given a helping hand via a scholarship; yet couldn't the child of a person making $500K/year also use that scholarship money? It would help them also, would it not? As you can see, these scenarios border on the absurd, and yet they would necessarily have to come to pass if you were to be at all consistent in your thinking. You are inconsistent and hypocritical. You are shallow, possessed of a quiescent mind. You are, quite honestly, one of the dumbest people I've ever met solely for the fact of invoking the argument you did (re: "discrimination"), and I don't say that lightly. Nevermind all of the other foolish, abrasive, and ill-considered remarks you run around mucking up threads with. You're a pox on this forum.


Believe me when I tell you that there are literally dozens of other examples I could come up with to illustrate the bankruptcy of your ludicrous assertions, and so it would be in your interests to give your guiding maxim ("no discrimination should be allowed") some thought as to how far it holds and where, under what circumstances, it should be mitigated for the greater good in keeping with the general ethic of society and how we've done things for over 200 years now. But I don't expect you to do any reflecting, because that would imply a functioning frontal lobe.


Toodles.
 

Loki

Count of Concision
Well that sucks. I'm telling you dude-- head to the ER. Just say that you just got walloped by some thugs, or fell down the stairs or something. :p
 
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