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Ken M
Mountain climber
Los Angeles, Ca
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Mar 22, 2010 - 08:16pm PT
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Roxjox said:
"My (considerably older) brother in law lives in Canada and had a hip replacement on their dime. Something happened and he somehow (I think) became allergic to it, and they had to remove it, leaving him WITHOUT A HIP for maybe a year or more! I never had heard of such a thing."
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Such things are disturbingly common. Usually involving an infection. You have to leave all hardware out of the area for an extended time, or the same thing will happen again......
"I never thought of a hip replacement as an optional (elective?) surgery when you are completely missing one."
surgeries are divided into elective, in which you can choose when it happens, or emergency, when it must be done immediately, and you have no choice. Heart surgery is usually elective, appendix is not.
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monolith
climber
Berkeley, CA
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Mar 22, 2010 - 08:17pm PT
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Who here thinks health care has now been nationalized?
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Ken M
Mountain climber
Los Angeles, Ca
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Mar 22, 2010 - 08:18pm PT
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"say goodbye to local doctors in rural areas, one doctor practices will be , as Russ would say it,... GONE."
No, just the opposite. This group of doctors are likely to do much better. The rural areas are filled with uninsured people without resources. Now, that will be gone. This group is filled with hope, now.
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Fat Dad
Trad climber
Los Angeles, CA
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Mar 22, 2010 - 08:20pm PT
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say goodbye to local doctors in rural areas, one doctor practices will be , as Russ would say it,... GONE.
Educate me if I'm wrong on this point, but rural practices have been hard hit for quite some years given that there's far more money elsewhere and--big surprise--many rural patients lack coverage. Won't requiring people to have coverage provide a source of revenue for rural doctors that wasn't there before?
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bluering
Trad climber
Santa Clara, Ca.
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Mar 22, 2010 - 08:21pm PT
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Bob, do you ever have an independent source, or you just stick with HuffPo crap?
Usually when I try to make a point I look for commonly-considered independent, objective sources.
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Hoffbrow
Trad climber
California
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Mar 22, 2010 - 08:23pm PT
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What did you mean by Taco ????? sound racist
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Ksolem
Trad climber
Monrovia, California
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Mar 22, 2010 - 08:24pm PT
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I did not say that the court would make a decision based on spite. Read my second post. I suggest, as have wiser thinkers than I, that the court - which does not have to even hear a case unless they choose to is likely to take more "interest" after their rubdown by Obama. The thinking is that any case regarding this bill is more likely to be heard by the court.
Jefferson even refers to this idea in Federalist 10 talking about the balance of powers, that one separate but equal part of our government could oppose another based on issues such as this. As I recall he referred to this as human nature. Someone here probably knows The Federalist Papers by heart. I do not but at least I have read them and remeber some, which puts me ahead of 99.9% of voting Americans.
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monolith
climber
Berkeley, CA
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Mar 22, 2010 - 08:28pm PT
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Well Bluering, in the case of a statement like "Children can be kept on their parents policy till age 26", really most sources will do. Nothing subjective about it. If it's a lie then say so.
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Mighty Hiker
climber
Vancouver, B.C.
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Mar 22, 2010 - 08:29pm PT
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Isn't your Supreme Court pretty much required to hear cases between the federal and a state government/governments, or between two state governments? Is it the court of first instance for such cases, or?
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EdBannister
Mountain climber
CA
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Mar 22, 2010 - 08:29pm PT
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Fat,
single doc practices do not have the economies of scale to handle the burden of the paper trail of medicare, many treat patients for cash, or send them to the big city, where medicare is accepted.
Rural practices will close in huge numbers because the old docs who located in rural areas as incented by the government will mostly just close. Many younger docs will commute to a larger practice, or work for a Kaiser, but the single Physician practice will largely go away. somewhere around 20 million americans in rural areas will indeed "get healthcare"
they just will not have access.
Did anyone mention that in the last three months the dropout rate at Loma Linda Medical School has spiked, and I don't know, but I would be very interested to learn what the dropout rate does this week nationally.
I have not met a doc over 60 yet who does not plan to quit, and there will be fewer new doctors, you will have coverage, just no access.
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bluering
Trad climber
Santa Clara, Ca.
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Mar 22, 2010 - 08:35pm PT
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Not to nit pick, but it won't go into effect until after his term.
Really...you might want to recheck your sources.
Monolith, Bob was questioned and disputed the above issue...Can you people follow the discussion??? C'mon!
EDIT:
Did anyone mention that in the last three months the dropout rate at Loma Linda Medical School has spiked, and I don't know, but I would be very interested to learn what the dropout rate does this week nationally.
I have not met a doc over 60 yet who does not plan to quit, and there will be fewer new doctors, you will have coverage, just no access.
Ed, everyone knows that doctors are rich, greedy, old, white guys who need to 'pay their fair share' in terms of working for less despite their medical schooling costs and personal sacrifices to earn their Md degrees.
Just ask Obama....
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monolith
climber
Berkeley, CA
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Mar 22, 2010 - 08:36pm PT
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And Bob gave an answer, that can be easily disputed if not true.
There are immediate benefits.
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bluering
Trad climber
Santa Clara, Ca.
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Mar 22, 2010 - 08:41pm PT
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And he gave an answer, that can be easily disputed if not true.
There are immediate benefits.
So why did you play a BS card???? This whole thing stinks of a sham and the likes of you don't do it credence. A lot of shell-gaming.
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EdBannister
Mountain climber
CA
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Mar 22, 2010 - 08:42pm PT
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If you think there are no effects now,
check the stock market,
or talk to the investors of the company I work for,
it will help us, maybe.
but healthcare?
Every time I can provide something better for a patient the fed won't let the change through because no federal worker will take responsibility for allowing a change, even if it a demonstrable improvement. That mentality now affects more of how you are cared for and what with.
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monolith
climber
Berkeley, CA
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Mar 22, 2010 - 08:42pm PT
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Really, BS card?
You're a funny guy Bluering.
A wrong statement was made, Bob corrected it, and I get accused of calling BS even though Bob was correct?
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Ksolem
Trad climber
Monrovia, California
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Mar 22, 2010 - 08:43pm PT
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Isn't your Supreme Court pretty much required to hear cases between the federal and a state government/governments, or between two state governments? Is it the court of first instance for such cases, or?
I don't think so. We have lower Federal Courts which decide these cases. When they are appealed the Supreme Court can decide to let the lower court decision stand or they can hear the case if it interests them.
If the Supreme Court had to hear every case between a State and the Federal Gov't., well you see... too many cases.
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jstan
climber
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Mar 22, 2010 - 08:44pm PT
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We are really at a much larger crossroads and if anyone is due for praise here it is George Bush. Americans are capitalists at heart. It's all we know, really.
George Bush created the environment wherein profit seeking corporations could feel confident when abrogating their own signed contracts. Denying people something for which they had paid - as agreed.
The debate is over. Truly. The corporations have shown they are not
us.
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Ken M
Mountain climber
Los Angeles, Ca
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Mar 22, 2010 - 09:00pm PT
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Isn't your Supreme Court pretty much required to hear cases between the federal and a state government/governments, or between two state governments? Is it the court of first instance for such cases, or?
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Only, in their sole discretion, if they choose to do so.
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jstan
climber
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Mar 22, 2010 - 09:04pm PT
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That's what seems true to me.
The Supreme Court - is a supreme court.
It has always decided
what cases it will hear.
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Ken M
Mountain climber
Los Angeles, Ca
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Mar 22, 2010 - 09:09pm PT
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Ed, I spent my career as a single doc practice, and I have been through this many many times.....
medicare...."I'll quit!"......DRG's...."I'll quit!"......unbundling..."I'll quit!".....required timely dictating of records..."I'll quit!"........uniform billing forms...."I'll quit!......passing audits of care..."I'll quit!"......Electronic Submissions....."I'll quit!".......Electronic Records...."I'll quit!"....nationally required healthcare...."I'll quit!"
Still waiting for the first one.......
As for your assertions of dropouts of Loma Linda...source? BTW, the reasons are DEFINITELY tracked, having been on the admissions committee of another school.
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