guys, strangers not related to my family also die, what if genetics and shit you know? like, that would be totally weird, man
It still sucks that repairative medicine like this costs so much in the US. Such high prices should be reserved for freaking [U]augmentative[/U] medicine, like replacing your right hand with an electric carver or upgrading your vital organs with nanomachines.
I don't think anyone would ask for that, though.
[QUOTE=Drury;44905674]I don't think anyone would ask for that, though.[/QUOTE]
I certainly didn't ask for this.
The point still stands though. The prices for fixing what's broken seem a bit too high in the States, and are more in line with prices one could expect from improving what's already there. Why the hell is American medicine so expensive anyways?
[QUOTE=ironman17;44905783]The point still stands though. The prices for fixing what's broken seem a bit too high in the States, and are more in line with prices one could expect from improving what's already there. Why the hell is American medicine so expensive anyways?[/QUOTE]
It's not run by the government that's why. Nothing else to it really.
EDIT: They have the same problem with jails, they're paying out of their asses to keep them running and they're run by the private sector who can ask for whatever amount of money or "We can just let the crazies out." kind of a deal. The people who thought this was a good idea had liquid money pumped up their asses to make it seem right.
[QUOTE=pkhzor;44905794]It's not run by the government that's why. Nothing else to it really.
EDIT: They have the same problem with jails, they're paying out of their asses to keep them running and they're run by the private sector who can ask for whatever amount of money or "We can just let the crazies out." kind of a deal. The people who thought this was a good idea had liquid money pumped up their asses to make it seem right.[/QUOTE]
[I]The private sector...[/I] I shoulda known, leaving such vital things in the hands of folks who only care about money, trying to min-max to the extreme to milk every last coppery drop out of whatever they get their grubby little hands on.
I bet if the hospitals and jails were run off that sweet milk-and-honey they pump into the military budget, we wouldn't have these psycho medical bills to deal with when we're trying to get our shit fixed. I've never been happier to be British, especially since I'll probably set an appointment some time this week to check if this bloated tonsil of mine is gonna be harmful or not. Even if it's just loaded with bacterial gunk (my dental hygiene has been somewhat wanting recently), can't hurt to check. In fact, considering TB's dilemma it'd hurt more NOT to check.
[QUOTE=ironman17;44905783]The point still stands though. The prices for fixing what's broken seem a bit too high in the States, and are more in line with prices one could expect from improving what's already there. Why the hell is American medicine so expensive anyways?[/QUOTE]
It's all to do with the way it's repaid. Insurance companies essentially buy huge amounts of treatments and demand a discount as they are doing it - they'll basically say "we'll pay 20% (made up, it's probably lower) of what you charge as we'll bring you a huge amount of customers". Medicare or whatever it's called does the same, but it offers even less. The hospital has to price it so that it can make at least a slight profit on the procedures. They have to charge flat fees or else Medicare and insurers will say "we want to pay x% of that minimum fee as we give you customer volume and will refuse to cover you in our plans if you don't let us pay low costs - and no patients is death to you as a hospital". Then you have the uninsured, some of whom might pay it all off, many who go bankrupt and so on and the few who run and don't pay, adding costs to the hospital.
The hospitals have to set their prices to make a profit, in addition to paying the cost of all the structures they need (a single 64 slice basic CT scanner can be £650,000, has to be installed, maintained and checked constantly and they can easily go up into the millions for faster ones, not to mention the costs of keeping sterile ORs, staff and such) and you also have the medical markup - much like military gear, medical stuff is arbitrarily more expensive, sometimes for logical reasons, other times because "hey, it's medical!". There are electricity bills and such to keep the constant lighting, backup generator tests, power demands of the imaging department, vacuum ports, oxygen ports, water, janitors, all those costs. You end up with the hospitals having to charge the uninsured stupid things like 5-6 times what it actually costs the hospital, as the insurance companies will let you barely break even.
It's a heavily flawed system, and part of the reason I'm so glad for the NHS here - sure we're not perfect, but insurance companies have to be reasonable as the NHS is a viable treatment alternative in most cases. The main issue in America is the fact insurance companies basically drive up hospital costs because the hospital wants to break even, insurance wants to pay less, and the uninsured must be treated, sometimes with money coming from nowhere.
[editline]25th May 2014[/editline]
I don't think I could actually blame a single part of the system for being fucked up, it's like pretzel of fucking up, twisty and turney, could be the insurers, could be the hospitals, could be the manufacturers of medical equipment, could be those who don't pay, could be the government, could be those who pay, it's probably everyone's fault.
[editline]25th May 2014[/editline]
Hell, it's got to the point where even doctors in US hospitals are thinking "man, I wish I'd never gone into medicine" due to liability insurance being through the roof, medschool debts going into the half a million dollar+ range, salaries not actually being that great considering the costs of insurance and debt interest and staying updated, insanely high workloads, and high burnout rates.
Jinkies, that sounds like a potential bursting of the medical bubble if you ask me. If the doctors hate their jobs, medschool bills make it unappealing to get into the field, pay not being all that great, and generally overloading the staff with more than they can handle, then we've a massive problem on our hands, especially since the barrier to entry reduces the number of new doctors cropping up, meaning less doctors and less new blood.
How long has it been like this?
I'm not really sure, but I think it's a fairly recent thing, as in the last decade or so. I only take an interest in it, rather than anything academic, but it seems that the US has a problem building up. Not to mention the fact they need more doctors (as does everywhere, us in the UK included!) but the US hasn't increased the number of residency places in a long time, whilst population and the number of medschool places has increased - residency positions are like gold now.
Don't get me wrong in that things like cardiothoracic surgery can make you loaded, but the way its working is people are going in aiming to get out with money asap, and that the salaries for most things aren't actually that worth it when you compare the fact that they'll be paying off debts for 20+ years after graduation or even residency. Things like general practise (or family practise, since we're talking about the US I suppose) look like a good salary, but then you have to take out a huge (and it is huge) chunk of that salary for professional insurance and debt repayment + interest. Hell, due to the way it works if you're sued, the insurers sometimes settle, and you still get screwed.
I believe we have burnout problems with Emergency Medicine doctors in the UK, but I don't think we're in such a state. It's the willingness to bring up malpractice suits that does it - over here we are much more "the doctor did the best he could", rather than trying to recoup medical costs by suing claiming malpractice or whatnot. We're just less litigious, so our malpractice insurance over here is much more tame, and our doctors are paid less, but tend to have much smaller debts. Even little things are different - the doctors in the US will refer people for diagnostic imaging and other examinations much more than everywhere else to avoid malpractice charges as if they miss one tiny thing then they could potentially be sued for it. It's a case of CYA.
I'm sure someone in the US healthcare industry could correct me, most of my stuff is what I've built up from talking to doctors over here and browsing the internet, not exactly the most reliable.
[QUOTE=Mysterious Mr.E;44901245]Something I learned. Cancer is caused by 95% outside source with only 5% being genetics. Makes you wonder if something we take for granted could be killing us slowly.[/QUOTE]
So did playing so many cancerous games actually [I]give[/I] him cancer?
[QUOTE=ironman17;44905662]It still sucks that repairative medicine like this costs so much in the US. Such high prices should be reserved for freaking [U]augmentative[/U] medicine, like replacing your right hand with an electric carver or upgrading your vital organs with nanomachines.[/QUOTE]
What a genius solution, why didn't it occur to me that the discussion we should be having is not about totalbiscuit's colon cancer but rather the possibility of giving totalbiscuit a robotic anus
I have realized that about the States, a lot of folks over there seem very trigger-happy with lawsuits...
[QUOTE=Terminutter;44906531]I'm not really sure, but I think it's a fairly recent thing, as in the last decade or so. I only take an interest in it, rather than anything academic, but it seems that the US has a problem building up. Not to mention the fact they need more doctors (as does everywhere, us in the UK included!) but the US hasn't increased the number of residency places in a long time, whilst population and the number of medschool places has increased - residency positions are like gold now.
Don't get me wrong in that things like cardiothoracic surgery can make you loaded, but the way its working is people are going in aiming to get out with money asap, and that the salaries for most things aren't actually that worth it when you compare the fact that they'll be paying off debts for 20+ years after graduation or even residency. Things like general practise (or family practise, since we're talking about the US I suppose) look like a good salary, but then you have to take out a huge (and it is huge) chunk of that salary for professional insurance and debt repayment + interest. Hell, due to the way it works if you're sued, the insurers sometimes settle, and you still get screwed.
I believe we have burnout problems with Emergency Medicine doctors in the UK, but I don't think we're in such a state. It's the willingness to bring up malpractice suits that does it - over here we are much more "the doctor did the best he could", rather than trying to recoup medical costs by suing claiming malpractice or whatnot. We're just less litigious, so our malpractice insurance over here is much more tame, and our doctors are paid less, but tend to have much smaller debts. Even little things are different - the doctors in the US will refer people for diagnostic imaging and other examinations much more than everywhere else to avoid malpractice charges as if they miss one tiny thing then they could potentially be sued for it. It's a case of CYA.
I'm sure someone in the US healthcare industry could correct me, most of my stuff is what I've built up from talking to doctors over here and browsing the internet, not exactly the most reliable.[/QUOTE]
You remind me of why we view doctors that take med courses in Canada and then go to the US for a job as basically traitors. They cheat the system by taking the relatively cheap university classes (compared to the U.S.) here but then go to the US for jobs that pay for much more than they would get by working in the public system. There aren't too many that do this from what I understand, but enough that they decided to make the cost of university classes more proportional to the likelihood of you being able to get a good job with a decent salary very quickly. Med school is going to get more expensive within the next couple of years because of it, but I don't think it's a good idea.
[QUOTE=ironman17;44909509]I have realized that about the States, a lot of folks over there seem very trigger-happy with lawsuits...[/QUOTE]
Unfortunately, it's pretty much because the system won't protect you. You need to take most matters into your own hands when you've been wronged in the U.S.
Got the wrong leg cut-off during an operation? If you don't don't sue them, they'll try to get away with it.
Useless but fun TB fact I learned from my PS2 outfit leader a few days ago: TB has unbelievably soft hands.
[QUOTE=Jimesu_Evil;44910650]Useless but fun TB fact I learned from my PS2 outfit leader a few days ago: TB has unbelievably soft hands.[/QUOTE]
I have unbelievably soft hands, too. If we ever meet, I'll let you feel them.
[QUOTE=GoDong-DK;44905461]I have the symptom where my family has a history of dying as well.[/QUOTE]
its like you tried to be funny, but instead you had to take a poop so you just wrote as fast as you possibly could and hit "Post"
[editline]26th May 2014[/editline]
also you shit your pants
[QUOTE=StrawberryClock;44910635]Unfortunately, it's pretty much because the system won't protect you. You need to take most matters into your own hands when you've been wronged in the U.S.
Got the wrong leg cut-off during an operation? If you don't don't sue them, they'll try to get away with it.[/QUOTE]
You're talkin out of your booty bro. I'm sure you've never heard of JACHO before.
[QUOTE=InvaderNouga;44911200]You're talkin out of your booty bro. I'm sure you've never heard of JACHO before.[/QUOTE]
Fuck those nerds, I'll intubate when I want :Colbert:
[QUOTE=InvaderNouga;44911200]You're talkin out of your booty bro. I'm sure you've never heard of JACHO before.[/QUOTE]
Interesting, I didn't know about that organization.
[QUOTE=ironman17;44905662]It still sucks that repairative medicine like this costs so much in the US. Such high prices should be reserved for freaking [U]augmentative[/U] medicine, like replacing your right hand with an electric carver or upgrading your vital organs with nanomachines.[/QUOTE]
does anybody enjoy this guy's posts? every single one reminds me of a high schooler trying to speak like he's a few decades older than he really is.
[editline]26th May 2014[/editline]
[U]augmentative[/U]
[QUOTE=CheeseMan;44911589]does anybody enjoy this guy's posts? every single one reminds me of a high schooler trying to speak like he's a few decades older than he really is.
[editline]26th May 2014[/editline]
[U]augmentative[/U][/QUOTE]
his posts have always been quite weird
ironman17, despite having a british flag for his flagdog, comes across to me like a space alien using google translate
I dont know who that man is but i feel sorry, hopefully he will survive.
I shit blood from time to time but it's just bright red streaks in the stool.. And it's because I have irritable bowel syndrome so I get super constipated sometimes and push massive shits out that rip my anus apart, thus causing the bright red streaks.
That being said, I hope the guy gets through it, no idea who he is but good people don't really deserve Cancer.
[editline]26th May 2014[/editline]
Also I've been seeing blood in my stool for like 4+ years if not more lol.. Irritable bowel syndrome can be a bitch I tell ya. I need to start taking that Metamucil regularly
[QUOTE=LuaChobo;44910617]you do know that a family history of cancer actually does increase the risk right[/QUOTE]
I realise my attempt at humour might have backfired.
And yes, I do know that - but I was being pedantic pointing out that (as far as I'm linguistically concerned) it isn't a sympton. Just forget I posted anything, it wasn't meant to be disrespectful to TB or whatever.
[QUOTE=CM Punk;44911785]I shit blood from time to time but it's just bright red streaks in the stool.. And it's because I have irritable bowel syndrome so I get super constipated sometimes and push massive shits out that rip my anus apart, thus causing the bright red streaks.
That being said, I hope the guy gets through it, no idea who he is but good people don't really deserve Cancer.
[editline]26th May 2014[/editline]
Also I've been seeing blood in my stool for like 4+ years if not more lol.. Irritable bowel syndrome can be a bitch I tell ya. I need to start taking that Metamucil regularly[/QUOTE]
How many courics was it?
You should measure them and submit your findings to the European Fecal Standards and Measurements Board in Zürich.
[QUOTE=Comrade_Eko;44911815]How many courics was it?[/QUOTE]
Once when I was younger I was so constipated I spent the entire day in the hospital. Had a nurses finger up my ass, had a tube shoved up my ass that put a bunch of lube in there which was extremely painful even on morphine.. Then after hours of pain and embarrassment they finally decided to just put me under and have the doctor remove it. Apparently he had his whole fist up there and it was a big giant ball of shit.
[QUOTE=CM Punk;44911831]Once when I was younger I was so constipated I spent the entire day in the hospital. Had a nurses finger up my ass, had a tube shoved up my ass that put a bunch of lube in there which was extremely painful even on morphine.. Then after hours of pain and embarrassment they finally decided to just put me under and have the doctor remove it. Apparently he had his whole fist up there and it was a big giant ball of shit.[/QUOTE]
Fecal impaction. Just be glad that you're not the guy who has to reach his hand into someone's butthole and remove balls of shit manually.
don't know if you like boogie but I like em
[video=youtube;Nv0ue14_IvY]http://www.youtube.com/watch?v=Nv0ue14_IvY[/video]
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