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Massachusetts senate seat

thegreatheed
Fri Jan 22, 2010 8:44 am

Re: Massachusetts senate seat

Regardless of what you think is the issue with our healthcare system, this fact remains. Health care is a huge portion of the country's overall economy. Health care, along with everything else, was built around a capitalist system. Whether or not you think that system is for the better or for the worse, any major overhaul that pushes too far from that core design WILL cause significant disruption and the current conditions in the country would not withstand that very well. The leadership from the Democratic party have been clear that they WANT a single-payer system (government provided insurance). There's been plenty of opposition against that idea from Democrats and Republicans alike. This kind of huge swing in the midst of economic instability is a very bad idea.

Instead of trying to redesign the whole thing, let's do what we can NOW and what we can EASILY in order to affect change, even if it's minor. Let's reform medical malpractice, regardless of it's effect on overall costs, it's a relatively simple change and one that's needed. Doctors should not have to work like they have a huge target over their back pocket. Let's also cut off benefits for illegal aliens. I personally know lots of good people here just looking to improve themselves and their family, but it is not my responsibility to pay for their health care. Let's also remove the single state restriction on health insurance companies. Let them draw from a bigger pool of citizens, that should help reduce costs.

Even a relatively modest reduction in costs might have huge impacts on the overall system. One of the "problems" quoted so often by politicians is our 40 something millions of Americans who are uninsured. A large portion of those people are young, healthy, relatively prosperous individuals who view health insurance as a bad use of their money. They don't think they will need insurance, and they probably won't, so they don't pay for it because of the prohibitive costs. Many small employers (which make up a HUUUUUUGE portion of the jobs in this country) also can't afford health care for their working (and usually healthy, productive) employees. If there were modest reductions in the costs of insurance, these employers might also be able to provide insurance. Adding millions of healthy young insurance members would boost gross revenue without large increases in expenditures. This could also make insurance significantly less expensive as well. So while some of the "conservative" ideas for fixing health care may seem small, or insignificant, if we can just move a few more people into the pool of insurance, it might just have a bit of snowball effect and reduce insurance costs for all.

(Oh, and to add in a little political jab, the senate bill would still leave about 20 million Americans uninsured after 10 years. Talk about spending a lot of money to not even come close to fixing the "problem".)

My base opinion is that supporting grand change that will come with extremely large costs attached is completely irresponsible when simple straightforward cost cutting ideas have not been employed.
uke
Fri Jan 22, 2010 1:30 pm

Re: Massachusetts senate seat

Shathus wrote:
Fridmarr wrote:
It's also why they actually tried to write language into the bill that suggested it couldn't be repealed in any way. Apparantly, the constitution be damned when it gets in the way.


That crap pissed me/us off. Like you said, how is it even constitutional?! Which to me, just proves even more that they know it's not right (the bill) and want to get it in so no one can come in later and get rid of it again.


Crap like this and more is a prime example of why this abomination of a health bill (which doesn't even include universal health care - so you Euro-libs aren't even accurate on that talking point) needs to be burned in a fire, especially since the majority of the public doesn't want this thing in the first place. Fortunately, it's looking more and more like it will be put out of its misery now.
uke
Fri Jan 22, 2010 1:31 pm

Re: Massachusetts senate seat

Njall wrote:Cool. Now the US can get back to being the only first world country without universal health care AND the death penalty.


I am failing to see the problem with this...
Fivelives
Sat Jan 23, 2010 3:15 am

Re: Massachusetts senate seat

Dorvan wrote:...and what does that do with pass/fail grading in medical schools? You're going to have to provide some more support than that. The causality chain looks very flawed, but I'm hesitant to post a full rebuttal when you haven't laid out your reasoning. Here's a short one though:

http://blogs.wsj.com/health/2009/05/20/ ... b/article/


That study they did should've been done blind instead of allowing the students to know they were still being scored.

Basically it comes down to the argument of pass/fail vs a-f in general. While pass/fail courses are easier on the students, the students tend to perform worse when tested on even basic skills and knowledge they should've picked up from the courses they attended. It fosters a blasè attitude toward basic learning habits (note-taking, attendance, etc) and scholastic work ethics in collegiates, and while I'll be the first to admit that there has to be some amount of drive and ambition in med school students, I also have to doubt whether or not they are such a radical departure from the norm.

I don't know whether or not you have a JSTOR account, but here's the relevant study that I'm using: http://www.jstor.org/pss/1977666 (regarding pass-fail vs letter grades in higher learning institutions). The study was done blind on the instructors part and showed that the students who were taking courses on pass/fail basis almost without exception did "just enough", i.e. got between 61%-72% in the courses. That's sort of a disturbing trend, don't you think? I'd rather a doctor that was stressed out in med school, but learned his shit over one that did "just enough" to get a pass in their courses.
Dorvan
Sat Jan 23, 2010 11:02 am

Re: Massachusetts senate seat

The basis of your speculation is a single 40 year old study of non-medical students? Sorry, but that's a load of crock. You haven't even established that malpractice incidence has increased since medical schools started shifting towards pass/fail, much less provided any evidence that such hypothetical increase was linked to pass/fail grading. I see no reason to follow up on such tenuous unsupported speculation when there are other clear causes for healthcare cost increases.
Fridmarr
Sat Jan 23, 2010 11:51 am

Re: Massachusetts senate seat

I can't read the article, but is it specific to medical school? I would think that there are signficant portions of med school that are more hands on, where you either do the task correctly or you don't, and that a pass/fail would be appropriate. Aren't their classroom based studies using that typical A-F model?
Fivelives
Sat Jan 23, 2010 1:34 pm

Re: Massachusetts senate seat

It's regular universities, not med school specific. And Dorvan, I'd say that the study would still apply today, only moreso - kids of the 70s, 80s, and 90s have an almost non-existent work ethic, especially compared to kids of the 40s and 50s. Show me the 20something that can raise kids, work a couple of jobs and still go to school full time while performing at least decently at all of the above, and I'll show you the 20something that was only in their 20s back in the 60s or 70s. I'll grant that there are exceptions, but they are incredibly rare.