Just one example of how out of touch Obama is about healthcare

Quote from Obama speaking at a town hall meeting in NH:

There's SO MUCH WRONG with this statement. For starters, primary care physicians aren't performing amputations. Primary care is handled by internal medicine or family practice physicians. The amputations are generally handled by vascular surgeons or orthopedic surgeons. There is no conflict of interest here. The primary care docs have NO incentive to not treat diabetes in the best way possible.

Secondly, $30,000 to $50,000 to perform an amputation? BULLSHIT! Medicare pays surgeons $589 to $767 for a foot amputation. Medi-Cal pays $420 for the same. AND those reimbursements include 90 days of aftercare.

Thirdly, if a person REALLY looks carefully at the issue, BETTER CONTROL of diabetes will likely cost the system MORE than letting the diabetes go out of control. Diabetics only have a 40% survival rate at 5 years after amputation. Game over. Finished. No more healthcare expenditures for this dead person. If you keep a person alive, that is a long lifetime of diabetes medications (oral meds and insulin, not cheap) and medications for associated health issues such as high blood pressure, high cholesterol, etc. That is a lifetime of foot exams, retina exams, kidney exams. It cost A LOT to keep a diabetic alive. Does ANYONE believe "counseling" can make the majority of patients eat better, lose weight, and exercise? Unlikely. VERY unlikely.

Obama is COMPLETELY out of touch. Our entire government is COMPLETELY out of touch. The AMA is COMPLETELY out of touch.

YES, we need healthcare reform. But what the fuck are we doing? It seems like no one has done the necessary research and homework before trying to make changes. We can't just make changes for the sake of change. We need to make the RIGHT CHANGES!!!!!!!!!!!

 

Yeah, it's pathetic.

But when you're talking to an audience of idiot Americans, it's easy to make shit up and have the people believe it because it's coming from their beloved God.

However, after re-reading what you said, it appears your views are largely in line with Obama's pro-eugenics viewpoint of allowing certain chronically ill people to die because they use up too many resources.

 

1. He didn't say primary care doctors are performing amputations.

2. Where the fuck are your numbers coming from, even getting a few cat scans can cost thousands of dollar. Do you have any idea how expensive surgery is. If you didn't have insurance, just a normal check up will run you about $300 at a normal doctor's office.

3. So instead of preventive care, getting our fat ass country to control it's diet, you just prefer euthanasia to save money?

 

I like to know where these numbers come from

as mapcap says..it's a $1000 easy just for a cat scan

 

the best is the provisions people don't yet know about. some scary shit in there, regarding the >250k payroll cut off penalty, and the penalty to physicians whose patients re-admit

I hear all this talk about grants and scholorships to get more nurses and doctors under this reform... BUT will people WANT to be doctors and nurses then? And those that do choose to become doctors and nurses will work half asses because its a government job... like at the post office.

 

The last thing you want to do with people that have the ability to kill you with a single fuck up is pay them as little as possible.

 

1. He implied that there is a conflict of interest and doctors are more MOTIVATED to perform amputations instead of preventative care so they can make more money. This is an faulty assertion because it would be two different doctors in this clinical picture.

2. These numbers come directly from Medicare and Medicaid. These are the current reimbursements rates for lower extremity below knee and above knee amputations.

3. I'm not advocating for letting people die. I'm just saying that it's not a cut and dry assumption that BETTER CARE OF DIABETES will cost less in the long run. By better caring for some disease processes, the COST of the healthcare will actually increase.

 

yeah..has to be true

http://joustthefacts.typepad.com/joust_the_facts/2009/08/medicare-rates-and-the-truth.html

 

obama is just looking out for his homies..right

http://www.naturalnews.com/024250_diabetes_amputations_leg_amputations.html

 

Thanks for the link.

 

1. He implied that there is a conflict of interest and doctors are more MOTIVATED to perform amputations instead of preventative care so they can make more money. This is an faulty assertion because it would be two different doctors in this clinical picture.

Nothing in anything he said implied anything like that- he only described- accurately- the current system.

2. These numbers come directly from Medicare and Medicaid. These are the current reimbursements rates for lower extremity below knee and above knee amputations.

Is that the per diem rate or the reimbursement for the surgeon?

3. I'm not advocating for letting people die. I'm just saying that it's not a cut and dry assumption that BETTER CARE OF DIABETES will cost less in the long run. By better caring for some disease processes, the COST of the healthcare will actually increase.

I think you are correct that preventive care does not necessarily mean that total cost of care is lowered. Doing the morally right thing isn't always directly, immediately, and measurably profitable, thus the conservative argument that it shouldn't be attempted. But even non-human ape-men like the Neanderthals took care of their sick and injured- putting their very lives on the line to do so.

I hear all this talk about grants and scholorships to get more nurses and doctors under this reform... BUT will people WANT to be doctors and nurses then? And those that do choose to become doctors and nurses will work half asses because its a government job... like at the post office.

Personally, I believe that if you serve in the military or work more than a decade as a direct care provider, you should never have to pay another dime of taxes of any type in your lifetime. Yeah I'm sure that will be passed.

I guess I've seen both sides. I worked for HMOs for most of my adult life, some good, some bad. I spent most of the last year driving my wife to and from doctor visits, surgeries, and for CT scans, MRIs, PET scans, radiation therapy, chemotherapy, all that stuff, and it seemed that every person in the medical field... actually cared. The people that work for care providers- from the top dog surgeons to the immigrants sweeping the floor- are some of the most compassionate, patient, and competent people alive today. We really do need to be careful not to savage those people's salaries in the name of cost containment, and therein lies my biggest and only real concern about major reform.

 

hmm! when was the last time you were around a chronically ill person, rat?
what about terminaly ill ?
do you think that they should not have accsess to consule, to determin their own fate? our should some burercrat determin it for them?
or maybe the insurance company for profit be able to do that,afer they took all the profits they can?
do you want to keep your dying mother alive against her wishes?
while she is dying do you not want pepole to talk to her/you about your options?
sorry son but until it comes your way, all your doing is talking out your...............