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The PPACA Thread Part III - Let's have a healthy debate!

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Re: The PPACA Thread Part III - Let's have a healthy debate!

3 months to see a shoulder specialist, 3 months to get a sleep study although it only took a month and half as I was willing to go in on a moments notice. Takes 2 weeks to see PCP, thats a joke, no wonder folks go to emergency room. My insurance won't pay for my dermatologist I pay out of pocket.
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

I have an appointment for an orthopedic surgeon about my shoulder come 8/18, made the appointment last week. Then I'll have another 2-4 week wait to get an MRI/MRA, assuming it'll be ordered, and then another 3 weeks or so for the follow-up appointment to review the images. Then, if necessary, I'll have the wait for scheduling surgery.
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

You people all need to move to civilization or something. :eek: In the state with the highest % of people covered I never have to wait long at all to be seen. One time I broke my elbow on a Saturday night (unknown to me at the time) and I got seen the following day (Sunday) at the doctor's office.
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

Rover said:
You people all need to move to civilization or something. :eek: In the state with the highest % of people covered I never have to wait long at all to be seen. One time I broke my elbow on a Saturday night (unknown to me at the time) and I got seen the following day (Sunday) at the doctor's office.
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My orthopedic clinic has urgent care, which they treat and bill like a normal scheduled visit, but the on-duty doctor when I injured my shoulder during a hockey game in May suggested I go back to my doctor who performed my original surgery back in 2013 if it wasn't feeling 100% by the end of July. The clinic is in demand, about 20 doctors and PAs, and there's always a wait.
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

Someone needs to build a better mousetrap. When a better mousetrap needs to be built and it doesn't get built it's usually because someone is making a ton of money off the broken one.
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

FreshFish said:
That is a bit misleading because you are not correlating cost to quality.


To some extent, parts of healthcare are a luxury item: in other countries, you have a hip problem, you get a cortisone shot and a bottle of advil. Here, you get a hip replacement. The latter is much more expensive than the former, but if it was your hip and you had the money available, which would you choose?


People complain that healthcare is too expensive yet wail and gnash their teeth when you try to restrict usage, which is how the governments in single-payor plans reduce costs.

It is a phantom reduction: maybe the cost in dollars goes down, the real cost is incurred through waiting longer to see someone and suffering much more in the interim.
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If you need a hip replacement in Sweden you get it, not a shot of cortisone and some advil. They spend less than half as much per capita for healthcare. You might have a to wait a couple months, since part of having an efficient system is not having costly excess capacity for non-life saving services. But guess what, you'd likely have to wait a couple months here too depending on where you live and who your insurance company will let you see.
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

Rover said:
You people all need to move to civilization or something. :eek: In the state with the highest % of people covered I never have to wait long at all to be seen. One time I broke my elbow on a Saturday night (unknown to me at the time) and I got seen the following day (Sunday) at the doctor's office.
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Well as a physician who makes daily referrals to almost every specialty one could think of in both a private and "public" (VA) system, that is not always the case. And this is in Cleveland which is somewhat of a doctor hotspot with three major systems (CCF, University hospitals and Metro) and a top notch VA.
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

WisconsinWildcard said:
Well as a physician who makes daily referrals to almost every specialty one could think of in both a private and "public" (VA) system, that is not always the case. And this is in Cleveland which is somewhat of a doctor hotspot with three major systems (CCF, University hospitals and Metro) and a top notch VA.
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It's hopeless arguing from a position of authority with Rover. You could be the top surgeon in the United States, and he would dispute any unfavorable stats you claim. :p
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

WisconsinWildcard said:
Well as a physician who makes daily referrals to almost every specialty one could think of in both a private and "public" (VA) system, that is not always the case. And this is in Cleveland which is somewhat of a doctor hotspot with three major systems (CCF, University hospitals and Metro) and a top notch VA.
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I wouldn't think that it is. My point is somehow it seems the Boston metro area has figured out how to get people seen on a timely basis. Why that is I'll defer to the experts as well as if certain areas of the country are better at this than others. I could see a connection between how densely populated an area is and how a patient could be seen more quickly.
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

Rover said:
I wouldn't think that it is. My point is somehow it seems the Boston metro area has figured out how to get people seen on a timely basis. Why that is I'll defer to the experts as well as if certain areas of the country are better at this than others. I could see a connection between how densely populated an area is and how a patient could be seen more quickly.
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There's no problem in NYC or the DC metro area, either. Large cities --> lucrative practices --> too many doctors --> tons of choices --> short wait times. When I lived in Oregon I paid really close attention to the "in market" restrictions on my insurance. In DC I don't give a sh-t, there's always 20,000 doctors in market for anything I could possibly come down with.

You probably see the same effect in everything from building contractors to travel agents*.

* Are there still travel agents?
 
Kepler said:
You probably see the same effect in everything from building contractors to travel agents*.

* Are there still travel agents?
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For rich people, and (to an extent) corporate travelers like me, yes. For the rich, they act more like concierges though and book everything, not just transportation and accommodations. For us corpies, sometimes they can get you rebooked on flights that your gate agent can't.
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

Rover said:
You people all need to move to civilization or something. :eek: In the state with the highest % of people covered I never have to wait long at all to be seen. One time I broke my elbow on a Saturday night (unknown to me at the time) and I got seen the following day (Sunday) at the doctor's office.
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Undoubtedly broken while patting yourself on the back.

This points out one of the fundamental problem of the ACA. Problems need to be solved at the lowest level possible. In the case of health care and health insurance, that's at a state level, at the highest.

I'm sure in NYC or Boston or any other eastern metropolitan market there are a plethora of choices for health care, no waits, and plenty of options for health insurance providers. Out here, where we like a little more space, that's not the case.
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

SJHovey said:
I'm sure in NYC or Boston or any other eastern metropolitan market there are a plethora of choices for health care, no waits, and plenty of options for health insurance providers. Out here, where we like a little more space, that's not the case.
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You're in the upper Midwest right? You can get ordinary health care for ordinary health issues anywhere. For serious health issues, Rochester is the final word.
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

5mn_Major said:
You're in the upper Midwest right? You can get ordinary health care for ordinary health issues anywhere. For serious health issues, Rochester is the final word.
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Rochester is also at lease five hours from those in Fargo, add on another 60-90 minutes of drive time to those in Grand Forks. Is that realistically attainable for everyone one in the Midwest? No, it is not.
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

St. Clown said:
Rochester is also at lease five hours from those in Fargo, add on another 60-90 minutes of drive time to those in Grand Forks. Is that realistically attainable for everyone one in the Midwest? No, it is not.
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If you can't be bothered to drive 6 hours for a specialist, its not serious.

Hovey, just to put it in perspective...Mayo's US (i.e., worldwide) ranking this year:

Cancer #3
Cardiology & Heart Surgery #2
Diabetes & Endocrinology #1
Ear, Nose & Throat #2
Gastroenterology & GI Surgery #1
Geriatrics #1
Gynecology #1
Nephrology #1
Neurology & Neurosurgery #1
Orthopedics #2
Psychiatry #8
Pulmonology #1
Rehabilitation #6
Rheumatology #4
Urology #1
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

5mn_Major said:
If you can't be bothered to drive 6 hours for a specialist, its not serious.

Hovey, just to put it in perspective...Mayo's US (i.e., worldwide) ranking this year:

Cancer #3
Cardiology & Heart Surgery #2
Diabetes & Endocrinology #1
Ear, Nose & Throat #2
Gastroenterology & GI Surgery #1
Geriatrics #1
Gynecology #1
Nephrology #1
Neurology & Neurosurgery #1
Orthopedics #2
Psychiatry #8
Pulmonology #1
Rehabilitation #6
Rheumatology #4
Urology #1
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Yes, we know. Minnesota is the closest thing to Heaven on earth. Sunshine, rainbows, and lakes. No poverty. Healthcare sent by God himself.

Christ, the state gov't should just hire you as the chief PR guy already. :rolleyes: :D
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

FadeToBlack&Gold said:
Yes, we know. Minnesota is the closest thing to Heaven on earth. Sunshine, rainbows, and lakes. No poverty. Healthcare sent by God himself.

Christ, the state gov't should just hire you as the chief PR guy already. :rolleyes: :D
Click to expand...

Have we had a chance to discuss Riga? :)
 
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