tag:blogger.com,1999:blog-32053362.post5665059407250108556..comments2024-03-29T06:37:18.029-04:00Comments on Not Running a Hospital: Don't worry. High quality exists elsewhere.Paul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-32053362.post-2363601614943763412011-04-17T15:33:01.005-04:002011-04-17T15:33:01.005-04:00Anon 8:14 AM –
My free ride comment referred to t...Anon 8:14 AM –<br /><br />My free ride comment referred to the notion that the middle class and even upper middle income folks can be exempted from paying higher taxes to contribute toward making our healthcare system, along with other federal entitlement programs, more sustainable while concentrating the entire incremental tax burden on those making more than $200K per year (single) and $250K (couples). It was not intended as an indictment of those who need healthcare with or without subsidies. The fact is that any solution to these issues that includes raising taxes will require sacrifice from a much broader spectrum of the population than high income people alone.Barry Carolnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-33265021889791637182011-04-17T08:14:41.501-04:002011-04-17T08:14:41.501-04:00Barry: "free ride" is a rather harsh,jud...Barry: "free ride" is a rather harsh,judgmental, unfair comment. Not everyone on this plan is a slacker, uneducated and the like. Some have had very unfortunate situations that landed them needing the states insurance. what has happened to sense of community? <br />Although many of the folks involved in healthcare for all have a sense of community, I do not agree with them in totality. <br />I am not saying I have a better idea or plan; but I am saying not everyone is out for a "free ride.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-42744806694055809362011-04-17T06:49:30.235-04:002011-04-17T06:49:30.235-04:00Barry, the reason that people think the way you de...Barry, the reason that people think the way you describe in you,r first sentence is that, except for your word 'everyone' that is exactly what they have been getting up to now! So that HAS been their 'reality.' Now someone must take away the candy. Once again, we are collectively the victims of our own original good intentions.<br /><br />nonlocalAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-44187379922857604742011-04-17T00:20:03.354-04:002011-04-17T00:20:03.354-04:00I like Ken's idea of pricing high cost service...I like Ken's idea of pricing high cost services out, but tiered copays sends a perception of quality that hurts our low cost, high quality providers. Probably overcome-able though.<br /><br />Through these limited network options at the Connector, capitation rates are going down below current rates, which goes against all health care inflation trends. I'm curious to hear what people think in terms of whether this reduction reflects a true recalibration of the cost of the system, meaning that limited networks can be sustainable and replicable. Or, there may still be variables out there that may challenge the viability of a limited network? Will hospitals rates within a limited network gradually equalize, or will we see a repeat of the system at large, where previously low cost settings develop an "enclosed limited network" clout, and drive costs back up again.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-27079070079462204102011-04-16T08:39:03.323-04:002011-04-16T08:39:03.323-04:00Once again, you don't need to limit the choice...Once again, you don't need to limit the choice of these more expensive hospitals and exclude them from insurance plans; you simply need to price the extra costs into the patients co-pays and deductibles, much like what is done for paharmaceuticals that exist on different tiers depending on there price. Consumers can then make the choice of whether they will pay the extra cost to go to a Partners Hospital.<br /><br />Not everyone can get the Mercedes; some will have to buy the Ford Focus. That doesn't mean you sacrifice quality health care. Maybe what is given up is the fancy fountain and lobby, the flat screen TV in the room, and the concierege service. And just maybe the CEO isn't paid a seven figure salary with a fat bonus at the end of the year!Keithnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-31800920627937523602011-04-15T23:15:15.278-04:002011-04-15T23:15:15.278-04:00From Facebook:
I think it is important to note th...From Facebook:<br /><br />I think it is important to note that this organization is too often noted in the press and elsewhere as the health care consumer voice in Massachusetts. In reality they are the voice of taxpayer subsidized consumers--a very important constituency, but far from all consumers. Sometimes I feel that small businesses are held back from cost saving tools, marketplace equality and true consumer choice and power in order to politically protect their constituencies.Jonnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-69066725672193738672011-04-15T19:45:35.744-04:002011-04-15T19:45:35.744-04:00You will want to read this from WaPo:
http://www.w...You will want to read this from WaPo:<br />http://www.washingtonpost.com/national/massachusetts_pioneer_of_universal_health_care_now_may_try_new_approach_to_costs/2011/04/07/AFDrunkD_story.html?wprss=rss_health-science<br /><br />Maybe someone is listening.<br />bradBrad Fhttps://www.blogger.com/profile/10366408815395434941noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-61985524711771447552011-04-15T19:40:02.869-04:002011-04-15T19:40:02.869-04:00I find it disheartening that there seem to be so m...I find it disheartening that there seem to be so many people who think everyone should have access to virtually any healthcare service, test, procedure or drug that might benefit them even slightly, that they should be able to get it from any provider who offers it, and that someone else should pay for it. While I’m sure they mean well, they never squarely face up to just how much this vision costs, who should pay for it and whether or not the society can afford it. Maybe they think we can just raise taxes as much as necessary on a small group of high income people and everyone else can have a free ride. That won’t work. I’m reminded of a quote that I think is attributed to the writer, James Joyce. It’s “The force of idealism is lost when it fails to recognize the reality of things.” Or, as numerous others have said many times: “We can have our healthcare good, fast or cheap. Pick any two.”Barry Carolnoreply@blogger.com