Tuesday, July 28, 2009

So if we have a single payor system, who pays the bills? The government

So if we have a single payor system, who pays the bills? The government?
So the government would get to decide what procedures and drugs to cover and at what cost? They'd decide doctor and nurse pay? How is this a good thing for the ones providing the services? France is #1 in healthcare - and they have a kind of PPO program with a variety of reimbursers. They pay taxes out the wazoo for it, but the doctors and patients have more choice, as opposed to the British version....
Politics - 7 Answers
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1 :
We also have to remember that a lot of us current pay out the wazoo out our pocket for health care. What we pay from our payroll would simply turn over to gov't.
2 :
Just like in France, the taxpayers would pay for it. Now here's a thought - for 85% of Americans, a good portion of their medical insurance is an untaxed benefit at work. If we went to a national health care, which would dramatically increase our taxes, do you think your employer would hand over the money he previously spent on medical benefits? Or just add it to his bottom line?
3 :
[Single-payer national health insurance is a system in which a single public or quasi-public agency organizes health financing, but delivery of care remains largely private. Currently, the U.S. health care system is outrageously expensive, yet inadequate. Despite spending more than twice as much as the rest of the industrialized nations ($7,129 per capita), the United States performs poorly in comparison on major health indicators such as life expectancy, infant mortality and immunization rates. Moreover, the other advanced nations provide comprehensive coverage to their entire populations, while the U.S. leaves 46 million completely uninsured and millions more inadequately covered. The reason we spend more and get less than the rest of the world is because we have a patchwork system of for-profit payers. Private insurers necessarily waste health dollars on things that have nothing to do with care: overhead, underwriting, billing, sales and marketing departments as well as huge profits and exorbitant executive pay. Doctors and hospitals must maintain costly administrative staffs to deal with the bureaucracy. Combined, this needless administration consumes one-third (31 percent) of Americans̢۪ health dollars. Single-payer financing is the only way to recapture this wasted money. The potential savings on paperwork, more than $350 billion per year, are enough to provide comprehensive coverage to everyone without paying any more than we already do. Under a single-payer system, all Americans would be covered for all medically necessary services, including: doctor, hospital, long-term care, mental health, dental, vision, prescription drug and medical supply costs. Patients would regain free choice of doctor and hospital, and doctors would regain autonomy over patient care. Physicians would be paid fee-for-service according to a negotiated formulary or receive salary from a hospital or nonprofit HMO / group practice. Hospitals would receive a global budget for operating expenses. Health facilities and expensive equipment purchases would be managed by regional health planning boards. A single-payer system would be financed by eliminating private insurers and recapturing their administrative waste. Modest new taxes would replace premiums and out-of-pocket payments currently paid by individuals and business. Costs would be controlled through negotiated fees, global budgeting and bulk purchasing.]
4 :
With as much money as insurance costs, if they raised taxes some and stopped taking insurance out of my paycheck, I'd probably come out ahead.
5 :
To answer your question; In the purposed single payer system the Democrats want, the government would pay the bills and decide who gets procedures and drugs. It is not a good thing for those providing the services because they are forced to accept what the government pays them, Look to the doctor shortage to our north in Canada now needing foreign doctors to cover their socialized health care. In France the current tax rate is 52.75% of income for taxes, that is the second highest tax rate in the world. I am sure people could not live on what is left of your paycheck after the Government takes their half. http://www.cbc.ca/health/story/2006/08/28/doctor-shortage.html
6 :
Hopefully, the wealthiest 5%..
7 :
The government is already in the business of managing vast and complex programs, and sets the pay rates for all sorts of professionals in its employ, including a number of doctors and nurses, as well as air marshals, national park rangers, and the receptionist at the FBI. As far as I'm concerned, it could be a single-payer or a combination. I'm not fixated on any one model. I just refuse to believe that we Americans cannot conceive and execute a system that covers all of our citizens with at least adequate baseline services. I was raised to believe that we can do anything.


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Tuesday, July 14, 2009

What's the title? (french film about switching babies at birth)

What's the title? (french film about switching babies at birth)?
I saw this french movie, but don't know the title, help! The story goes: Two babies are born the say day at the same clinic in this town in France (one family is well off, the other poor), the head nurse is having an affair with the Doctor, but is scorned and switches the baby boys as revenge. 13 yrs pass by and the switch is discovered... the boys then switch families. Any ideas?
Movies - 2 Answers
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1 :
does it have Ashley and Mary Kate Olsen in it?
2 :
it's called "La vie est un long fleuve tranquille" of Etienne Chatiliez. http://french.imdb.com/title/tt0096386/combined


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Tuesday, July 7, 2009

Where should I study abroad

Where should I study abroad?
I'm a senior ih high school and I'm planning on study abroad sometime during my junior of senior year in college. But I'm torn between France and Japan. Which one should I go to? P.S: I'm going to major in Nursing with a minor in a foreign language(either French or Japanese, depending on which country I end up studying in).
Studying Abroad - 11 Answers
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1 :
France
2 :
I think Japan would be a lot more culturally different, if you want to try something reallyreally new. Also, most people in France speak English; you'll be A LOT more immersed in the language in Japan. On the other hand, if you want somewhere more comfortable and familiar, I guess you should choose France. I would also check out the quality of the specific schools you would be going to.
3 :
I would say Italy. Even though that is totally unrelated to your major. I just got back from there. Best time of my life. To answer your question: France. Almost everyone I know who has been there absolutely loves it. As for Japan, the Japanese culture is so different than ours, it would be difficult to make that transformation comfortably. My friend just got back from China and hated it. He was there for 6 weeks and although he had a good time, he said he couldn't wait to drop his Chinese and pursue his French major without distraction. p.s. if you go to France you can take a weekend trip to Italy. DO IT! Go to Siena. Best city in the world. Good luck.
4 :
France.
5 :
First, where are you from and what are you looking for? If you want a big cultural change and are ready to face it, then go for Japan. Otherwise, France is a wise choice if you want to be sure of your food, have a relatively small cultural change, pretty easy integration. Personally I'd choose France, but it's really your choice you can ask other people their opinion but you are the one who has to take the final decision. Both will be interesting, very different, whatever you choose you will enjoy yourself. Do you like sushi or baguette?
6 :
I would say Japan would be of far more value to you in learning how to adapt to new cultures and in language usage. However, if you plan on taking your medical career in the direction of the U.N., I'd go with France, because for some reason, they still use French there (at the UN).
7 :
Have you taken any French or Japanese yet? I would see which language/culture you are more attuned to, and which language you take to. That should point you in the right direction. If you are majoring in Nursing, be advised that you probably won't finish your BA in four years, if you spend a year abroad. Not to discourage you, though! It will be a great experience for you, and wonderful to gain fluency in another language!
8 :
I can tell you that I hated every moment I spent in Paris. I would not recommend it to anyone. If you are interested in studying in France, chose a program in the Midi. If you have any specific questions, feel free to email me.
9 :
Japan
10 :
You will almost certainly suffer 'culture shock' in a country like Japan. I'm not trying to put anyone down here, but Japanese culture is not kind to outsiders. Particularly when western values are used as the benchmark. I guess that you are of African decent, if I'm right, many Asian cultures can seem quite offensive toward people your skin colour. In Thailand, for example, the word 'Negro' is still used to describe people of African origin. I think you'd be wise to try France, unless you are a very resilient person and really think you could make a go of dealing with life in Japan. Good luck!

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Wednesday, July 1, 2009

nurse / kinesitherapist What to choose

nurse / kinesitherapist What to choose?
I have a university training that is unfortunately "not in demand" in France where my husband was transferred for 5 years. I was offered training as a kinesitherapist (3 years) and that would be "in demand" and allow me to have a job. On the other hand I still have the option of finishing nursing, which however is not recognized in France and would therefore require also 3 years of training. I did 2 years of nursing training a few years ago but I gave it up after I got married. So now the question is what do I choose? nursing or kinesitherapy? Is kinesitherapy going to be "in demand" in northern US, where we will end up when my husband's transfer is over?
Health Care - 2 Answers
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1 :
Concentrate in Nursing, there are more places in the world that demands this career..
2 :
I would go with kinesiology. In the US, you could enter the physical therapy field (very lucrative).


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