The Covid19 Thread

santaman2000

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Jan 15, 2011
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If you don't have to pay them they're clearly not included in fees you can't get away from paying.

I think you're missing my point, which was that some one living in the US seemed to me to end up spending roughly as much of their salary on keeping their every day lives going as they would if they were living in a comparable place in Western Europe. The incomes and outgoings may be individually very different but people in the same 'prosperity bracket" seem to be as squeezed or well off financially either side of the Atlantic.

I wasn't arguing that the US was cheaper or more expensive than the UK, more musing over the universality of certain economics.
Yes. But we accomplish it with less (fat less) government interference. And oberall With less personal expense on medical costs.
 

santaman2000

M.A.B (Mad About Bushcraft)
Jan 15, 2011
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I can't believe anyone has used that poor child's suffering as an argument against a tried and tested medical, legal procedure. Are there are legal procedures in America about medical matters too? Certainly not government interfering. It was the doctors and hospital getting a legal review of the situation to me decide if the best interests of the child is according to medical opinion of one of the world's best pediatric hospitals iirc (GOSH). A hospital that sees a lot of medical tourism from around the world I might point out. The courts decided the parents wishes weren't in the best interests of the child. A legal decision based on evidence from many be sources not just the doctors involved in the treatment.

That case but widely reported and as usual American outlets saw things through am American eye only. That biased news link is a rather milder version but still biased and missing a lot of very significant facts that do not agree with their American view of the world.

Without restarting that topic the child had no medical options left that would make him better only prolong suffering. But it suited American culture and myopia when it comes to medical systems to sell the lies about gubernatorial interference (wrong) and suited the Christian right to use that case. How much money did that raise for that one? I bet there was a lot left over for other Christian right causes.

@santaman2000, sorry but your bringing up of that story to debate an online topic makes me worry more than ever about your country.
I can't believe anyone has used that poor child's suffering as an argument against a tried and tested medical, legal procedure. Are there are legal procedures in America about medical matters too? Certainly not government interfering. It was the doctors and hospital getting a legal review of the situation to me decide if the best interests of the child is according to medical opinion of one of the world's best pediatric hospitals iirc (GOSH). A hospital that sees a lot of medical tourism from around the world I might point out. .......
IIRC St Jude’s was also one of the hospitals that offered to treat him. St Jude’s always makes the top 10 list of the world’s best children’s hospital and in more years than not it makes the #1 slot. By the way @Toddy St Judes never charges for anything. They also usually help with transportation as well as providing the family free lodging nearby; and they do it all with absolutely no government funding.
 

C_Claycomb

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Yes. But we accomplish it with less (fat less) government interference. And oberall With less personal expense on medical costs.




.

:deadhorse:
 
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Corso

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Yes. But we accomplish it with less (fat less) government interference. And oberall With less personal expense on medical costs.

Not so, and in fact there is far less medical governance in the US, less evidence based research and you are more likely to get inappropriate treatment because of it.

The US medical establishment have even rejected very clear medical evidence because it would mean making less money.
 

Toddy

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You're quite right @sunndog, and we have really taken the thread OT.

Let's see if we can get back on track, shall we ?

"A five-mile limit on leisure travel around a cross-border cluster of coronavirus cases looks set to be lifted on Tuesday.

First Minister Nicola Sturgeon said she was "very hopeful" the restriction could be removed.

She said the number of cases in the cluster around Annan and Gretna had risen by one - to a total of 12.

However, she warned that the outbreak in southern Scotland and northern England would not be the last.

"We are now as confident as we can be that this cluster is under control," she said."
 

TeeDee

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" I think you're missing my point "

Just to say , and its just my opinion , but I've seen the above dropped a few times.

To me the" I think you're missing my point " is a bit of a condescending comment , it suggest and assumes the person you are debating with has somehow overlooked the point of debate or argument you are trying to make or lacks the initial ability to see it in the first place.

If YOU ( Be that whoever ) are unable to clearly and simply articulate that the point you are making on a specific topic to ensure that a different perspective of conversation / data / relevance is apparent , then the onus is upon you to make it. The implied onus is not on the opposing party to try to interpret your poor use of language or inability to debate to filter the salient points out to aid YOUR perspective of the debate/argument.
 

santaman2000

M.A.B (Mad About Bushcraft)
Jan 15, 2011
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Florida



.

:deadhorse:
Unfortunately those charts include items we pay for here that the UK’s NHS likely doesn’t offer or cover. Such as elective and cosmetic surgeries that make up a large portion of health expenses. I still maintain my original position but finding reliable sources that filter out those differences would be difficult for either side.
 

santaman2000

M.A.B (Mad About Bushcraft)
Jan 15, 2011
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Florida
Not so, and in fact there is far less medical governance in the US, less evidence based research and you are more likely to get inappropriate treatment because of it.

The US medical establishment have even rejected very clear medical evidence because it would mean making less money.
That presupposes the US actually has a “medical establishment.” We don’t. We have multitudes of private practices and institutions with a loose association, the AMA, which is basically nothing more than a trade association.

Agreed we have less “medical governance” (read as less government interference) Agreed most research is,led by private companies (again read as independent from government funding and/or constraints)

You’re only making my case for me.
 

santaman2000

M.A.B (Mad About Bushcraft)
Jan 15, 2011
16,909
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Florida
" I think you're missing my point "

Just to say , and its just my opinion , but I've seen the above dropped a few times.

To me the" I think you're missing my point " is a bit of a condescending comment , it suggest and assumes the person you are debating with has somehow overlooked the point of debate or argument you are trying to make or lacks the initial ability to see it in the first place.

If YOU ( Be that whoever ) are unable to clearly and simply articulate that the point you are making on a specific topic to ensure that a different perspective of conversation / data / relevance is apparent , then the onus is upon you to make it. The implied onus is not on the opposing party to try to interpret your poor use of language or inability to debate to filter the salient points out to aid YOUR perspective of the debate/argument.
I’ll own this one (although I realize you’re talking of more than just me) and if anybody found it offensive I apologize. In my case that very statement was the least clear of my points as you’re correct, it does indeed “suggest and assumes the person you are debating with has somehow overlooked the point of debate or argument you are trying to make or lacks the initial ability to see it in the first place.” That was not my intention. Rather I thought it more polite than saying “you’re ignoring the point.”
 
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Corso

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That presupposes the US actually has a “medical establishment.” We don’t. We have multitudes of private practices and institutions with a loose association, the AMA, which is basically nothing more than a trade association.

Agreed we have less “medical governance” (read as less government interference) Agreed most research is,led by private companies (again read as independent from government funding and/or constraints)

You’re only making my case for me.

Its not a good case when you get the wrong treatment because some Dr decides to buy their own radiation machine and give you what they know they can charge the most for regardless of the medical benifit or your chances of greater long time side effects

I'd rather medicine was evidence rather than profit base myself

Couple that with the medical legal system milking things from the other side no wonder no one want any governance over there
 

santaman2000

M.A.B (Mad About Bushcraft)
Jan 15, 2011
16,909
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Florida
Its not a good case when you get the wrong treatment because some Dr decides to buy their own radiation machine and give you what they know they can charge the most for regardless of the medical benifit or your chances of greater long time side effects

I'd rather medicine was evidence rather than profit base myself

Couple that with the medical legal system milking things from the other side no wonder no one want any governance over there
It’s to my benefit because I can seek opinions from several independent doctors before deciding. The radiation machine would be one example of expensive equipment (the other I think of immediately would be the lasers used for eye surgeries) Such equipment is often isially by several parents in the same specialty clinic and you usually know before going to said specialist what treatment you’re seeking. It’s also still to my benefit becauseI can get just that treatment locally rather than in a crowded hospital.

All that said, I have mixed feeling about the legal system. While I see the benefits of being able to sue, I too think it’s abused: but that’s not a product nor a consequence of the medical practice.

As for the profit based aspect, that in and of itself is why we attract the best and brightest into the field. That’s the old cliche of “The cream rises to the top.” Not unlike the one I quoted earlier, “You get what you pay for.” Either way it’s certainly better than entrusting you health and care to an underpaid civil servant (compared to what his proficiency is worth in a true market) with a heavily protected job (which by the way would have the knock on effect to imcrease both the number of lawsuits and the size of damages awarded as the government has deeper pockets)

Evidence based vs profit based? The evidence is discerning customers prefer to make their own choices rather than have them limited because a government bean counter thinks the success rates aren’t high enough to justify the cost.
 
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Corso

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Evidence based vs profit based? The evidence is discerning customers prefer to make their own choices rather than have them limited because a government bean counter thinks the success rates aren’t high enough to justify the cost.

Its not worked like that for a long time

Clinical Commissioning Groups's (Doctors) hold the money these days
 
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santaman2000

M.A.B (Mad About Bushcraft)
Jan 15, 2011
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Florida
Its not worked like that for a long time

Clinical Commissioning Groups's (Doctors) hold the money these days
Fair enough. The fly in the ointment is that those doctors on the CCC are still government employees aren’t they? That blurs the line a bit between them and professional accountants (the aforementioned bean counters)
 

Corso

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Well yes indeed in the NHS we all are considered public servant and are held to account regularly for it

I'm certainly not a bean counter but 'm not in it for personal profit either - I could earn 3X the salary in the US and have a Dr over my shoulder 100% of the time for their cut of my activity too..

I'm curious though where does the US military sit? what about the fire department, paramedic service or park rangers

Are they private companies or are you relying on part time/volenteers?
 

TeeDee

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I’ll own this one (although I realize you’re talking of more than just me) and if anybody found it offensive I apologize. In my case that very statement was the least clear of my points as you’re correct, it does indeed “suggest and assumes the person you are debating with has somehow overlooked the point of debate or argument you are trying to make or lacks the initial ability to see it in the first place.” That was not my intention. Rather I thought it more polite than saying “you’re ignoring the point.”

Hi , No I wasn't talking to directly regarding you , just in general - but kudos for standing up to it.

I've not really been following thread in massive depth but I've just noticed in a few places a few people seemingly , ( at least to me ) , have or maintain and air of 'talking down' to others. Facts and Statistics are great , so are manners and common courtesy regarding an emotional hot topic and something that due to the countries we all call home have subjective experience of.

And sometimes its beneficial to do a double check on how one is conversing in the tone of the argument or points made.
 
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Jul 30, 2012
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Yes. But we accomplish it with less (fat less) government interference. And oberall With less personal expense on medical costs.
You are both wrong. The us and the uk for standard healthcare spend about the same, likewise spain and italy. The us does have very expensive high end healthcare and spends more per person on average. The NHS is nothing to be proud about anymore, scandinavia and germany have far better healthcare. I never understood why the big hooharr Danny Boyle made of it at the london olympics opening . France has better healthcare, Cuba also, but Cuba hung on to their doctors unlike India, whose greatest export is heathcare proffessionals, leaving india with a doctor shortage. We really should make do with what we can train in England and stop immigration that drains other countries.


But if you want to know how much countries spend on healthcare for the average Joe look at the beds avaliable i'd reccon.

 

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