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thorne
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Jul 20, 2005, 7:46 PM
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The S&P 500 and the Nasdaq Composite have both made new four year highs. :D


nthusiastj


Jul 20, 2005, 7:47 PM
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So does that mean that they are about 50% of what they were 5 years ago?


zozo


Jul 20, 2005, 7:48 PM
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So does that mean that they are about 50% of what they were 5 years ago?

Thats called a success by current administration standards.


Partner taualum23


Jul 20, 2005, 7:58 PM
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http://finance.yahoo.com/...t=5y&l=on&z=m&q=l&c=

http://finance.yahoo.com/...t=5y&l=on&z=m&q=l&c=

As you can see, the Nasdaq is still quite a way below it's high. The tech bubble burst, and that is going to take some time to fight back from.

The Dow, on the other hand, is not terribly far from where it was.


thorne
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Jul 20, 2005, 8:06 PM
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So does that mean that they are about 50% of what they were 5 years ago?

The S&P 500 has rallied about 60% off its October 2002 lows. It's about 20% off its all time highs.

The Nasdaq is closer to 1/3 of its 2000 highs. In case you didn't already know it, the Nasdaq rally of the late '90s was the ultimate ponzi scheme of all time.


caughtinside


Jul 20, 2005, 8:23 PM
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Speaking of which, my roommate told me about a new ponzi scheme that nearly victimized his cousin. You pay money to be a 'travel agent.' When you sign up X number of friends, you get the big payout.

It also requires you to pay a monthly fee until you get the payout, like $50 a month. In exchange, you get 'travel agent discounts' on flights/cars/hotels.

There was a big ponzi scheme called 'women helping women' out here in Sacramento a couple years ago, and there was one going on in college when I was at Boulder.

The oldest schemes seem to be the best schemes!


bobd1953


Jul 20, 2005, 9:32 PM
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So how does that help the average American?

Maybe the companies and investors making money on the stock market will help pay-off the huge debt (personal and federal) that is facing this country? :o

From MW Hodges: But, in the last several decades total debt has zoomed up, up and away - - growing much faster than national income. It has now reached $40.1 Trillion ($30.8 trillion private household/business/financial sector debt PLUS $9.3 trillion federal, state and local government debt). Here's some highlights:

Last year's total debt of $40.1 Trillion was 9 times higher than the $4.6 Trillion debt in 1957 (both measured in inflation-adjusted 2004 dollars).
Last year's total debt increased $3 trillion (up 8.2%). Federal government debt (incl. added debt owed trust funds) increased $595 billion (8.5%), household debt increased $1.03 Trillion (up 11.2%), business debt increased $421 billion (6%), state & local government debt increased $116 billion (up 7.4%), domestic financial sector debt increased $714 billion (7.3%), and other foreign debt was up 10%.
Last year's total debt per person was $136,479 (up $7,900 over last year's $128,560); this compares to $27,084 in 1957 (both measured in inflation-adjusted 2004 dollars). That's a debt excess of $109,395 per man, woman and child.


traddad


Jul 20, 2005, 10:18 PM
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Yea economy! I haven't gotten a raise in 5 years (thanks to our repugnican legislature), my property taxes just went up another $100 per month due to the "housing bubble" and gas is 40 cents per gallon more than it was this time last year....and I drive 100 miles per day.

Yea economy. Go. Rah. Only the rich fucks are doing well.

At least there's Two Buck Chuck.


bobd1953


Jul 20, 2005, 10:35 PM
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The rich are getting richer, the middle class is getting wipe out, personal debt is at a all time high and personal savings at a all-time low.

WTF are talking about.


cloudbreak


Jul 20, 2005, 11:27 PM
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....personal debt is at a all time high and personal savings at a all-time low.

That can also be attributed to stupidity!


traddad


Jul 20, 2005, 11:47 PM
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....personal debt is at a all time high and personal savings at a all-time low.

That can also be attributed to stupidity!

Or unaffordable housing prices. I pitty any middle class Joe (or Josephine) who didn't get in on the front side of the bubble. If I were to buy a house today I couldn't afford it. The appraiser just left 5 min. ago. and the value of my house increased 100% over the last two years. Good investment, but it also means my taxes keep going up on what our republican legislature wants to essentially be a fixed income.
We don't own a plasma TV. No pool, no jacuzzi, no boat, 20 year old stereo.... I drive a 16 year old car. My daughter wears her cousin's hand-me-downs. Our bed still sits on the floor because I can't afford the lumber to build the frame (OK, OK...so I want quarter sawn oak...) Hey, my wife's a college prof and I'm an ecologist....we should be doing better.
I hear Ken Ley's not doing well, either.


Partner one900johnnyk


Jul 21, 2005, 1:39 AM
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yeah awesome rebound at the end there but i'm not happy unless the long end of the curve is rising.. speaking of the us economy, that is some potentially scary shit, man


Partner one900johnnyk


Jul 21, 2005, 1:42 AM
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....personal debt is at a all time high and personal savings at a all-time low.

That can also be attributed to stupidity!

Or unaffordable housing prices. I pitty any middle class Joe (or Josephine) who didn't get in on the front side of the bubble. If I were to buy a house today I couldn't afford it. The appraiser just left 5 min. ago. and the value of my house increased 100% over the last two years. Good investment, but it also means my taxes keep going up on what our republican legislature wants to essentially be a fixed income.
We don't own a plasma TV. No pool, no jacuzzi, no boat, 20 year old stereo.... I drive a 16 year old car. My daughter wears her cousin's hand-me-downs. Our bed still sits on the floor because I can't afford the lumber to build the frame (OK, OK...so I want quarter sawn oak...) Hey, my wife's a college prof and I'm an ecologist....we should be doing better.
I hear Ken Ley's not doing well, either.
as "affordability" measures go, the housing market does not look so frothy. homes are relatively pretty affordable these days..... of course, housing always looks really affordable before a collapse.. and for what it's worth a lot of the appreciation is localized. many counties here in atlanta have experience flat home prices for a while now


reno


Jul 21, 2005, 1:42 AM
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....personal debt is at a all time high and personal savings at a all-time low.

That can also be attributed to stupidity!

Oh, no... we can't do that. To say so would imply that people should be accountable for their own actions and that just won't do.

[/sarcasm]


curt


Jul 21, 2005, 2:39 AM
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....personal debt is at a all time high and personal savings at a all-time low.

That can also be attributed to stupidity!

Or unaffordable housing prices. I pitty any middle class Joe (or Josephine) who didn't get in on the front side of the bubble. If I were to buy a house today I couldn't afford it. The appraiser just left 5 min. ago. and the value of my house increased 100% over the last two years. Good investment, but it also means my taxes keep going up on what our republican legislature wants to essentially be a fixed income.
We don't own a plasma TV. No pool, no jacuzzi, no boat, 20 year old stereo.... I drive a 16 year old car. My daughter wears her cousin's hand-me-downs. Our bed still sits on the floor because I can't afford the lumber to build the frame (OK, OK...so I want quarter sawn oak...) Hey, my wife's a college prof and I'm an ecologist....we should be doing better.
I hear Ken Ley's not doing well, either.

Yeah, but Ken Lay (like Bernie Ebbers) will likely get a nice bed provided him by taxpayers. :lol:

Curt


thorne
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Jul 21, 2005, 11:56 AM
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So how does that help the average American?

Maybe the companies and investors making money on the stock market will help pay-off the huge debt (personal and federal) that is facing this country? :o

From MW Hodges: But, in the last several decades total debt has zoomed up, up and away - - growing much faster than national income. It has now reached $40.1 Trillion ($30.8 trillion private household/business/financial sector debt PLUS $9.3 trillion federal, state and local government debt). Here's some highlights:

Last year's total debt of $40.1 Trillion was 9 times higher than the $4.6 Trillion debt in 1957 (both measured in inflation-adjusted 2004 dollars).
Last year's total debt increased $3 trillion (up 8.2%). Federal government debt (incl. added debt owed trust funds) increased $595 billion (8.5%), household debt increased $1.03 Trillion (up 11.2%), business debt increased $421 billion (6%), state & local government debt increased $116 billion (up 7.4%), domestic financial sector debt increased $714 billion (7.3%), and other foreign debt was up 10%.
Last year's total debt per person was $136,479 (up $7,900 over last year's $128,560); this compares to $27,084 in 1957 (both measured in inflation-adjusted 2004 dollars). That's a debt excess of $109,395 per man, woman and child.

Them's some big ol' numbers you got there, Bob. Do you have any idea what they mean?

Flaming aside, I'm amazed at how widespread the mindset of victimology has gotten in this country. I start a post that basically says "our economy is doing well and I think that's a good thing", and a bunch of you just want to whine about how you're getting screwed, that this is beneficial only to the wealthy, that we're on a sinking ship.... boo hoo hoo :cry: :cry: :cry:

If you can take your blinders off you might see that America is still the land of opportunity. It's what you make of it. :wink:


Partner tradman


Jul 21, 2005, 12:42 PM
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If you can take your blinders off you might see that America is still the land of opportunity. It's what you make of it.

Actually america is one of the least socially mobile countries in the first world (the most socially mobile is France) - social mobility being the indicator of people's opportunities to accumultae wealth and ststus realtive to their roots.

The average amercian's quality of life, whether or not they can change it, is still a shitload better than almost anywhere else though.


bobd1953


Jul 21, 2005, 2:51 PM
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Them's some big ol' numbers you got there, Bob. Do you have any idea what they mean?

Pretty easy to understand, even for you. I see by using "big ol" you are showing your social background.

Flaming aside, I'm amazed at how widespread the mindset of victimology has gotten in this country. I start a post that basically says "our economy is doing well and I think that's a good thing", and a bunch of you just want to whine about how you're getting screwed, that this is beneficial only to the wealthy, that we're on a sinking ship.... boo hoo hoo.

I am not a victim or do I feel like one. I have a great family and live the life I want to live. I travel outside of the country a fair amount and tend to think more global than most people on this site...especially the right-wingers who think "the world revolves America". America is sinking in a lot of ways. Our failing education system, lack of national health care system, the huge separation of the classes and an almost unpayable debt (personal and federal) will be the downfall of this nation.


If you can take your blinders off you might see that America is still the land of opportunity. It's what you make of it.

Take your own advice on this one. Pull your fecking head out of the sand.


thorne
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Them's some big ol' numbers you got there, Bob. Do you have any idea what they mean?

Pretty easy to understand, even for you. I see by using "big ol" you are showing your social background.

No chance of putting one over on you.

In reply to:
I travel outside of the country a fair amount and tend to think more global than most people on this site...especially the right-wingers who think "the world revolves America".

I think your confusing this sentiment with one of "act in America's best interests".

In reply to:
America is sinking in a lot of ways.... lack of national health care system.... and an almost unpayable debt (personal and federal) will be the downfall of this nation.

How would a national health care system affect federal costs?


bobd1953


Jul 21, 2005, 3:19 PM
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How would a national health care system affect federal costs?


How does not having one effect costs/productivity on a national level??


thorne
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Jul 21, 2005, 3:23 PM
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Nice dodge. :wink:

You previously quote MW Hodges, regarding government debt. Have you actually checked out his site? Good stuff!!! He says two initiatives are responsible for the era of big government - The New Deal and The Great Society.

He has some choice words on national healthcare.


Partner tradman


Jul 21, 2005, 3:27 PM
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Well, here's a bit of news for the economy. China's revalued its currency by 2.2%

Should slow down their exports and boost domestic production in the US and other countries huh?

What do you guys think? (oh and if you think this is off-topic just say and I'll start a new thread).


reno


Jul 21, 2005, 3:38 PM
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I am not a victim or do I feel like one. I have a great family and live the life I want to live. I travel outside of the country a fair amount and tend to think more global than most people on this site...especially the right-wingers who think "the world revolves America". America is sinking in a lot of ways. Our failing education system, lack of national health care system, the huge separation of the classes and an almost unpayable debt (personal and federal) will be the downfall of this nation.

Random thoughts....

~ Not all right wingers think the world revolves around America.

~ You don't want National Healthcare, trust me. It's not working for anyone else, and there's nothing our government does efficiently now, so why should we trust them with making our healthcare decisions for us?

~ You think providing "free" healthcare to everyone will improve our debt?

~ Seperation of classes... why is this a bad thing? Why is it so bad to reward those that work harder than the next guy?


Partner tradman


Jul 21, 2005, 3:50 PM
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You don't want National Healthcare, trust me. It's not working for anyone else,

It's working pretty well for britain, reno.


bobd1953


Jul 21, 2005, 4:11 PM
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Random thoughts....

~ Not all right wingers think the world revolves around America.

I didn't say all!

~ You don't want National Healthcare, trust me. It's not working for anyone else, and there's nothing our government does efficiently now, so why should we trust them with making our healthcare decisions for us?

Yes it is. We are the only "first world country without it".

~You think providing "free" healthcare to everyone will improve our debt?

Nothing is free. i pay taxes and a fair amount. I rather see my taxes go to healthcare and education than to Haliburton and lobbyists in DC.


~ Seperation of classes... why is this a bad thing? Why is it so bad to reward those that work harder than the next guy?

That the problem Reno...the rich are getting richer by stealing and not working harder.

We lose the middle class (blue collar) in the country and we are toast.


thorne
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Jul 21, 2005, 4:20 PM
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You don't want National Healthcare, trust me. It's not working for anyone else,

It's working pretty well for britain, reno.

Do you think it could be implemented today?


thorne
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http://www.newsbatch.com/hc-intpub.gif


Partner tradman


Jul 21, 2005, 4:32 PM
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Do you think it could be implemented today?

Aha. You've got me there.

If it already exists it's easy enough to run, but setting it up? Wow, that's different.


bobd1953


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Are you trying to prove my point with that chart??


reno


Jul 21, 2005, 4:38 PM
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You don't want National Healthcare, trust me. It's not working for anyone else,

It's working pretty well for britain, reno.

S'pose it depends on your point of view, tradman. I'm friends with three paramedics, three nurses, and a couple of physicians who work or have worked in GB and the USA.

To a person, they voice the same concerns: Things that would get done in a day, maybe two, here take much longer... sometimes MONTHS... in the UK.

Things like surgical removal of tumors, PTCA (angioplasty) for coronary artery blockages, vascular bypass grafts for vascular insufficiency, prescription eyeglasses, medications, etc.

I've not worked in GB's healthcare system, so I've no reason to dispute these claims.

I'm also friends with several paramedics, nurses, doctors, pharmacists, etc in Canada, Australia, Germany, Italy, Israel, etc. Similar systems, similar stories.


bobd1953


Jul 21, 2005, 4:48 PM
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S'pose it depends on your point of view, tradman. I'm friends with three paramedics, three nurses, and a couple of physicians who work or have worked in GB and the USA.

To a person, they voice the same concerns: Things that would get done in a day, maybe two, here take much longer... sometimes MONTHS... in the UK.

Things like surgical removal of tumors, PTCA (angioplasty) for coronary artery blockages, vascular bypass grafts for vascular insufficiency, prescription eyeglasses, medications, etc.

I've not worked in GB's healthcare system, so I've no reason to dispute these claims.

I'm also friends with several paramedics, nurses, doctors, pharmacists, etc in Canada, Australia, Germany, Italy, Israel, etc. Similar systems, similar stories.

And you think things work better here. My son when to the E-room. Got two advil, got looked at by a nurse and then got a bill for $1,300. My mother is on medi-care and still pays out the ass for some of her prescriptions. Not very fair to a woman who works her whole life and is now on a fixed income.

Some numbers on the unisured in this country. I think the number is higher.

Data that the Census Bureau released today show the number of people who lacked health insurance coverage throughout the year rose to 45.0 million in 2003. This is the largest number of uninsured people ever reported since the Census Bureau began issuing data on the number of uninsured in 1987.

The number of uninsured people was 1.4 million higher in 2003 than in 2002, when 43.6 million were uninsured. This represents the third consecutive year in which the number of uninsured Americans has climbed, with a total increase of 5.2 million since 2000, when 39.8 million were without insurance.

In percentage terms, 15.6 percent of Americans — almost one in every six people — were uninsured in 2003, an increase from 15.2 percent in 2002. Although the economy has been slowly recovering since 2001, health insurance coverage has deteriorated, and as a result, more Americans have been unable to get needed medical care because they are uninsured.

The principal reason for the further decline in health insurance coverage is the continued erosion of employment-based insurance coverage, spurred by continued escalation in the cost of health insurance, sluggish job growth, and the relatively high unemployment levels that persisted in 2003. The percentage of people with employment-based insurance dropped from 61.3 percent in 2002 to 60.4 percent in 2003. Despite the signs of economic recovery, this is the lowest level of employment-based insurance coverage in more than a decade.


thorne
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Jul 21, 2005, 4:58 PM
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Are you trying to prove my point with that chart??

I'll spell it out so even you can grasp the significance of these charts.

Other major countries provide public health care for the entire population. Approximately 6.5% of their GDPs is spent on public health care.

The US provides public health care for 25% of the population. Approximately 6.5% of their GDPs is spent on public health care.

Here's the tricky part. Try to keep up. If all of the US provided public health care for everyone, the number of people treated would quadruple. Using simple logic, it's fair to assume costs would also quadruple. Ergo, the cost of public health care would account for 26% of the GDP.

And you think this is a good thing?


curt


Jul 21, 2005, 5:19 PM
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Are you trying to prove my point with that chart??

I'll spell it out so even you can grasp the significance of these charts.

Other major countries provide public health care for the entire population. Approximately 6.5% of their GDPs is spent on public health care.

The US provides public health care for 25% of the population. Approximately 6.5% of their GDPs is spent on public health care.

Here's the tricky part. Try to keep up. If all of the US provided public health care for everyone, the number of people treated would quadruple. Using simple logic, it's fair to assume costs would also quadruple. Ergo, the cost of public health care would account for 26% of the GDP.

And you think this is a good thing?

That extrapolation is, of course, absurd. If other "major countries" can provide universal health care for all of their citizens for 6.5% of their GDP, why cant we? After all, we have more people, but our GDP is also much larger.

I also find it interesting that people always claim that the quality of healthcare in the US would go down if we adopt a socialized medical plan. Why is it then that several of those countries with universal government health plans have statistically better medical outcome rates than the US does? Something to think about.

Curt


reno


Jul 21, 2005, 5:29 PM
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And you think things work better here. My son when to the E-room. Got two advil, got looked at by a nurse and then got a bill for $1,300. My mother is on medi-care and still pays out the ass for some of her prescriptions. Not very fair to a woman who works her whole life and is now on a fixed income.

~ Yeah, I do: In some places, your son wouldn't have been seen until some 24 hours later, depending on what was wrong.

~ That $1300 is helping cover the costs of various things, like malpractice insurance, people who refuse to pay, etc. As a business man, I'm sure you know that the cost of services is far more than the goods provided.... why else pay $7.95 for a burger and fries, eh?

~ I'm sorry to hear about your mother's difficulties with her medications. Lemme know where she lives (state only... CO? NM? PA?) and I'll help suggest some resources where she might get some help with those medications.

~ The ER is now viewed as the convenience clinic of choice by many. Even more folks go there rather than their family practice doctor.

~ One of those costs, as mentioned, is covering people who don't pay, for whatever reason: Refusal is one of the most common. One local hospital wrote off $50 million in unpaid bills last year. How many business can swallow 50 million a year and stay open?

~ Don't blame the workers, blame the suits of administration.... million dollar salaries, bonuses, etc.

~ Name one entity that is required by the Federal Government to provide service, regardless of the recipients' ability to pay. Walk into a resturaunt, tell 'em you have no money, but you want a meal. See what happens. Ditto for a hotel. Tailor's shop. REI. Anywhere else, any other industry, and you get what you pay for. Yet healthcare professionals are obligated by morality, ethics, and law to provide for anyone/everyone. Then we can get sued for millions if that person doesn't like his free healthcare. Think that's fair?

~ I see people immigrate to the US at age 59 1/2, work for 2 years, and qualify for Medicare and Social Security. Maybe you should take your fight to them, rather than us working stiffs who are trying to provide healthcare for an increasingly old, ill, and unhealthy society.


traddad


Jul 21, 2005, 5:31 PM
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That extrapolation is, of course, absurd. If other "major countries" can provide universal health care for all of their citizens for 6.5% of their GDP, why cant we? After all, we have more people, but our GDP is also much larger.

I also find it interesting that people always claim that the quality of healthcare in the US would go down if we adopt a socialized medical plan. Why is it then that several of those countries with universal government health plans have statistically better medical outcome rates than the US does? Something to think about.

Curt

Communist......and I mean that in a good way.


bobd1953


Jul 21, 2005, 5:33 PM
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Let me spell it out to you. On a federal level, we spend more and give less. The system needs to be fixed. The cost of health care in this country is way too high. Any honest doctor, nurse etc... will tell you that this system is hurting and needs a major overhaul. Is that simple enough for you...if not read Curt's post. You are a little thicker than I thought. :D


reno


Jul 21, 2005, 5:34 PM
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That extrapolation is, of course, absurd. If other "major countries" can provide universal health care for all of their citizens for 6.5% of their GDP, why cant we?

Because we don't protect our medical providers from stupid lawsuits like other countries do.


bobd1953


Jul 21, 2005, 5:42 PM
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Reno you too are proving my point. Thanks, Bob

Thorne just thinks he so cool with his little charts and links. Anyone with half-a-brain would realize that the current way of doing business is broken and needs a major overhaul.

Thorne read this. We spend 14-per-cent of GDP on health care, we only cover 28 per-cent of the population. Other countries spend 6.5 per-cent and cover almost 100-per-cent of the population. And you see the other countries system as bad??

What the feck!


thorne
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Jul 21, 2005, 5:55 PM
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Thorne just thinks he so cool with his little charts and links.
So do the charts prove your point or not?

In reply to:
Anyone with half-a-brain would realize that the current way of doing business is broken and needs a major overhaul.

Obviously. The big question is how. It sounds like your solution is let the Federal government handle it. Does anyone have an example where a US program has improved efficiency and cut costs?


thorne
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Jul 21, 2005, 6:00 PM
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That extrapolation is, of course, absurd. If other "major countries" can provide universal health care for all of their citizens for 6.5% of their GDP, why cant we? After all, we have more people, but our GDP is also much larger.

Why is it absurd? Do you think we could quadruple the coverage and keep costs fixed?


reno


Jul 21, 2005, 6:04 PM
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Let me spell it out to you. On a federal level, we spend more and give less. The system needs to be fixed. The cost of health care in this country is way too high. Any honest doctor, nurse etc... will tell you that this system is hurting and needs a major overhaul.

Nobody saying otherwise, Bob, but let me spell this out for you:

Socialized medicine ain't the solution. Any honest doctor, nurse, etc. will tell you that.

And I could go on for years on why the costs are so high... the biggest two being (1) increased median age of the population; and (2) a country full of pussies who can't take a little discomfort.

But I've already blown my blood pressure too high for the day... I'm going to get a triple espresso and calm down a bit.

We're still on for the Sandias this Monday, right?


traddad


Jul 21, 2005, 6:11 PM
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In reply to:
That extrapolation is, of course, absurd. If other "major countries" can provide universal health care for all of their citizens for 6.5% of their GDP, why cant we?

Because we don't protect our medical providers from stupid lawsuits like other countries do.

See: http://www.eurekalert.org/...7/uoia-mlw071505.php

Read:

Contact: Jill Yablonski
Journalnews@bos.blackwellpublishing.net
781-388-8448
Blackwell Publishing Ltd.

The myth of the medical malpractice claims crisis
New research published in the latest issue of Journal of Empirical Legal Studies examines Texas medical malpractice claims and finds no tort crisis. Instead, the study's authors find that, over a 15-year period, the system was largely stable and generated few significant changes in claim frequencies, payments, or jury verdicts. "Average payments on medical malpractice claims rose because small claims were squeezed out of the system over time, not because payments on larger claims increased," the authors explain.
The authors used a comprehensive database of insured closed claims maintained by the Texas Department of Insurance since 1988. The data presented a picture of stability in most respects and only moderate change in others. Their research also revealed a weak connection between claims-related costs and short-to-medium fluctuations in insurance premiums. "Our hope is that better understanding of the claims process will lead to reforms that address real shortcomings in the malpractice litigation and claims payment systems, rather than respond to anecdotes or the rhetoric of crisis" the authors Bernard Black, Charles Silver, David A. Hyman and William M. Sage conclude.

This study is published in the July issue of Journal of Empirical Legal Studies. MEDIA wishing to receive a PDF of this article please contact journalnews@bos.blackwellpublishing.net

The Journal of Empirical Legal Studies (JELS) is a peer-edited, peer-refereed, interdisciplinary journal that publishes high-quality, empirically-oriented articles of interest to scholars in a diverse range of law and law-related fields, including civil justice, corporate law, criminal justice, domestic relations, economics, finance, health care, political science, psychology, public policy, securities regulation, and sociology.

Bernard S. Black practiced corporate and securities law at Skadden, Arps, Slate, Meagher & Flom in New York City, and served as Counsel to Commissioner Joseph Grundfest of the U.S. Securities and Exchange Commission. He has also been Professor of Law at Stanford Law School (1998–2004) and Columbia Law School (1988–1998). Professor Black is available for questions and interviews.

Charles Silver currently serves as Associate Reporter on the American Law Institute's project on Aggregate Litigation. He has published widely on class actions and complex lawsuits, attorneys' fees, the professional responsibilities of lawyers, insurance, and health care law and policy. Professor Silver is available for questions and interviews.

David A. Hyman, who received degrees in law and medicine from the University of Chicago, teaches health care regulation, civil procedure, insurance law, law & economics, professional responsibility, and tax policy. He has published articles on a wide variety of issues, but focuses his research on the regulation and financing of health care. Doctor Hyman is available for questions and interviews.

William M. Sage, who earned degrees in both law and medicine at Stanford University, teaches courses in health law, antitrust, regulatory theory, and the professions. He currently serves as principal investigator for the Project on Medical Liability in Pennsylvania, a 3-year program of medical malpractice policy research funded by The Pew Charitable Trusts. Doctor Sage is available for questions and interviews.


thorne
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Jul 21, 2005, 6:16 PM
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Thorne read this. We spend 14-per-cent of GDP on health care, we only cover 28 per-cent of the population.

How'd you reach that conclusion, Einstein?

If you're talking about the chart on page 2, the 14% applies to ALL health care and the 28% has to do with the population receiving PUBLIC health care.

In reply to:
And you see the other countries system as bad??

I never said anything of the sort. You seem consistently unable to base your statements in reality.


bobd1953


Jul 21, 2005, 6:23 PM
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Nobody saying otherwise, Bob, but let me spell this out for you:

Socialized medicine ain't the solution. Any honest doctor, nurse, etc. will tell you that.

And I could go on for years on why the costs are so high... the biggest two being (1) increased median age of the population; and (2) a country full of pussies who can't take a little discomfort.

Again Reno thanks for proving my point.

Other countries spend 6.5 per-cent of thier GDP on health care and almost 100-per-cent of the population have access to health care.

Why can't we do this.

Let hit Tres Peidas near Taos. May be a little cooler.


thorne
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Jul 21, 2005, 6:41 PM
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Other countries spend 6.5 per-cent of thier GDP on health care and almost 100-per-cent of the population have access to health care.

Why can't we do this.

Do you have any evidence that we could.... based on how our government works.

I know quite a few 5.13 climbers. This has absolutely no bearing on the prospect of me ever climbing at that level.


traddad


Jul 21, 2005, 6:50 PM
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Other countries spend 6.5 per-cent of thier GDP on health care and almost 100-per-cent of the population have access to health care.

Why can't we do this.

Do you have any evidence that we could.... based on how our government works.

Or based on how our government doesn't work.......


thorne
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Exactly.


reno


Jul 21, 2005, 7:06 PM
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Again Reno thanks for proving my point.

I'm not sure how you think I'm proving your point, unless your point is simply that the healthcare system in the US is broken. On that, we agree, but IIRC your original point was that Socialized medicine was the solution. Nothing I've said can be remotely construted to show support for Socialized medcine.

In reply to:
Other countries spend 6.5 per-cent of thier GDP on health care and almost 100-per-cent of the population have access to health care.

And again, the term "access" is a huge issue. Life saving treatments that get performed within minutes of the condition here in the US will take WEEKS in a socialized medicine industry.

Lemme ask you this: What will happen when, say, a woman needs an abortion because of rape, and the socialized system says "Sure, we can do that... in 5 months." ??

What do you think will happen when an elderly person with chest pain goes to the hospital, and the administroatrs say "Well, sorry, but you're too old for us to treat this, so you'll have to suffer." ??

These are not far-fetched scenarios... they will be reality if we get socialized medicine. Why do you support the idea of the Federal Government making your healthcare decisions for you?

In reply to:
Let hit Tres Peidas near Taos. May be a little cooler.

Deal. I'm bringing harness and shoes and nothing else (don't want to bring everything for one day,) so you get the rest. I'll buy beer. Call ya Sunday evening.


bobd1953


Jul 21, 2005, 7:28 PM
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Do you have any evidence that we could.... based on how our government works.

I stated a number of times that our system need major help.
It is up to the elected officials to improve the quality of life for all Americans. They have dumbed down the people so low that they are happy with a President when he completed a sentence and a American Idol shows up on boob-tube once a week.



I know quite a few 5.13 climbers. This has absolutely no bearing on the prospect of me ever climbing at that level.

Elected the officials that can make it happen and get rid of rift-raft. Raise our expectations of those officials and hold them accountable! What ever happened to "Contract for America' and term limits???

This god-damm America man. We used to be good at things. We invested in great minds and we made things happen.


thorne
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Jul 21, 2005, 7:34 PM
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Hey Bob! Quit bogartin' that joint.


bobd1953


Jul 21, 2005, 7:35 PM
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And again, the term "access" is a huge issue. Life saving treatments that get performed within minutes of the condition here in the US will take WEEKS in a socialized medicine industry.

Lemme ask you this: What will happen when, say, a woman needs an abortion because of rape, and the socialized system says "Sure, we can do that... in 5 months." ??

What do you think will happen when an elderly person with chest pain goes to the hospital, and the administroatrs say "Well, sorry, but you're too old for us to treat this, so you'll have to suffer." ??

These are not far-fetched scenarios... they will be reality if we get socialized medicine. Why do you support the idea of the Federal Government making your healthcare decisions for you?

All of the above points mean very little or nothing to me. As stated before: Studies have showed that our current health care system is no better than countries with national health plans.


bobd1953


Jul 21, 2005, 7:37 PM
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Hey Bob! Quit bogartin' that joint.

It's not that. It's a 104, I am doing yard work and I just had a triple shot iced mocha. :o


thorne
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Jul 21, 2005, 7:43 PM
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You seem to be side stepping one major aspect of this. Namely, government funded health care in the US is significantly more costly than our private health.

We obviously need change, but universal health care is not the solution.


bobd1953


Jul 21, 2005, 7:49 PM
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You seem to be side stepping one major aspect of this. Namely, government funded health care in the US is significantly more costly than our private health.


Why?

I think you know the anwser. Accepting the status-quo will get us no where. Demand that our officials fixed that broken system now.

We obviously need change, but universal health care is not the solution.

I disagree.


thorne
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Jul 21, 2005, 7:56 PM
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Of course, you don't have anything more hopes and dreams to support your position. :roll:

It's time for me to change my signature.


reno


Jul 21, 2005, 8:09 PM
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In reply to:
You seem to be side stepping one major aspect of this. Namely, government funded health care in the US is significantly more costly than our private health.


Why?

Again, I ask: Name one thing the government does that resembles cost-efficient.

The closest thing we have now to Government provided health care is the VA. Ever wonder why the VA will almost always send the really sick patients to a university-based or private hospital?

To make government provided healthcare cost effective in the USA would require such a revamping of the whole legal system that nobody would dare risk it... nobody.

Senator Hillary Clinton's plan back when her husband was President had a few good points, but she didn't take them far enough, and she didn't address the greater underlying issues, and thus it was doomed to fail.

It's a point of simple fact: Under the US laws, socialized medicine won't work and save money. Can the government provide medical care? Yes, but it'll cost money. Can the government provide care to everyone cheaply? Sure, but you won't get the same level of care you can get now. Can the government do BOTH, provide highest level of care AND do so cost effectively? Not a chance.


thorne
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Jul 21, 2005, 8:15 PM
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I look forward to bob's reply saying "You proved my point". :roll:


Partner one900johnnyk


Jul 21, 2005, 8:51 PM
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In reply to:
In reply to:
Are you trying to prove my point with that chart??

I'll spell it out so even you can grasp the significance of these charts.

Other major countries provide public health care for the entire population. Approximately 6.5% of their GDPs is spent on public health care.

The US provides public health care for 25% of the population. Approximately 6.5% of their GDPs is spent on public health care.

Here's the tricky part. Try to keep up. If all of the US provided public health care for everyone, the number of people treated would quadruple. Using simple logic, it's fair to assume costs would also quadruple. Ergo, the cost of public health care would account for 26% of the GDP.

And you think this is a good thing?

That extrapolation is, of course, absurd. If other "major countries" can provide universal health care for all of their citizens for 6.5% of their GDP, why cant we? After all, we have more people, but our GDP is also much larger.

I also find it interesting that people always claim that the quality of healthcare in the US would go down if we adopt a socialized medical plan. Why is it then that several of those countries with universal government health plans have statistically better medical outcome rates than the US does? Something to think about.

Curt
that free market's a bitch, eh? at least we get all the best doctors from canada!


reno


Jul 21, 2005, 9:11 PM
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I look forward to bob's reply saying "You proved my point". :roll:

I'll beat him to it:

Hey Bob, I proved your point! You're welcome!

;)


bobd1953


Jul 21, 2005, 9:23 PM
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In reply to:
thorne wrote:
I look forward to bob's reply saying "You proved my point".


I'll beat him to it:

Hey Bob, I proved your point! You're welcome!

Thorne/Bumblie and Reno...separated at birth.

I am glad you two found each other again. :D


reno


Jul 21, 2005, 9:50 PM
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In reply to:
thorne wrote:
I look forward to bob's reply saying "You proved my point".


I'll beat him to it:

Hey Bob, I proved your point! You're welcome!

Thorne/Bumblie and Reno...separated at birth.

I am glad you two found each other again. :D

If you're expecting a group hug, you're gonna be disappointed.


Partner one900johnnyk


Jul 21, 2005, 10:02 PM
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You seem to be side stepping one major aspect of this. Namely, government funded health care in the US is significantly more costly than our private health.


Why?

I think you know the anwser. Accepting the status-quo will get us no where. Demand that our officials fixed that broken system now.

We obviously need change, but universal health care is not the solution.

I disagree.

you think it's that easy? if a politician tries to change something dramatically to fix it it will get shot down for sure. it's much too easy for the senators to hold a committee meeting and do absolutely nothing. ss is a relatively easy fix compared to pensions and definitely medicare.. so we shall get nowhere..


curt


Jul 21, 2005, 10:30 PM
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In reply to:
In reply to:
You seem to be side stepping one major aspect of this. Namely, government funded health care in the US is significantly more costly than our private health.


Why?

Again, I ask: Name one thing the government does that resembles cost-efficient.

1) Public schooling of our children.
2) Public highway and road infrastructure.
3) Water distribution.

Would you like a few more?

In reply to:
....It's a point of simple fact: Under the US laws, socialized medicine won't work and save money. Can the government provide medical care? Yes, but it'll cost money. Can the government provide care to everyone cheaply? Sure, but you won't get the same level of care you can get now. Can the government do BOTH, provide highest level of care AND do so cost effectively? Not a chance.

I don't see why not, except for all the well-heeled special interest money that would oppose it. You continue to ignore the fact that has now been stated several times: The US does not have the world's best medical outcome record, and in fact, many countries with socialized medicine do better than we do in that regard. Based on that, one could argue that the overall level of medical care in the US could actually improve by adopting such a system.

Curt


bobd1953


Jul 21, 2005, 11:19 PM
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I don't see why not, except for all the well-heeled special interest money that would oppose it. You continue to ignore the fact that has now been stated several times: The US does not have the world's best medical outcome record, and in fact, many countries with socialized medicine do better than we do in that regard. Based on that, one could argue that the overall level of medical care in the US could actually improve by adopting such a system.

Curt

Curt- you can't use logic on these two (Thorne and Reno) you need charts and links. :shock:

Forbid the day that we ever hold our public officials accountable for their actions and the public's best interest.


hugepedro


Jul 21, 2005, 11:40 PM
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Curt, you commie, pinko bastard.

In reply to:
In reply to:
Again, I ask: Name one thing the government does that resembles cost-efficient.

1) Public schooling of our children.
2) Public highway and road infrastructure.
3) Water distribution.

Would you like a few more?

I'll play.

4) Delivering mail from anywhere to anywhere in a matter of days (Postal Service is one of my clients right now, heh heh).
5) Aviation infrastructure and safety.
6) National (actually, world) defense.
7) Management of our electrical power infrastructure.
8) Assurance of our food supply, both quantity and safety.
9) Science and technology R&D (did you know the vast majority of drug patents are based on government funded research?)

I could go on. Contrary to Republican propaganda, MOST of what the government does it actually does quite well, especially when you consider all the differing constituencies that must be served.

In reply to:
I don't see why not, except for all the well-heeled special interest money that would oppose it. You continue to ignore the fact that has now been stated several times: The US does not have the world's best medical outcome record, and in fact, many countries with socialized medicine do better than we do in that regard.

You’re too kind. The World Health Organization ranks us somewhere around 27-29th in quality of health care. We ought to be really embarrassed by some of the countries that are doing better than us.


In reply to:
....It's a point of simple fact: Under the US laws, socialized medicine won't work and save money. Can the government provide medical care? Yes, but it'll cost money. Can the government provide care to everyone cheaply? Sure, but you won't get the same level of care you can get now. Can the government do BOTH, provide highest level of care AND do so cost effectively? Not a chance.

Reno, most of the statements you have claimed as fact in this thread, are actually not grounded in fact at all. You seem to be basing your conclusions on anecdotal stories form a few friends - and I don’t know what else – rather than real statistical data.

This is an EASY problem to solve. We already pay more for less. GOD, if only someone would let me take a crack at that one and split the difference of the savings with me! Are we really so stupid that we can’t figure out how to do this at least as good, if not better, than the Europeans? Oh wait, I can answer that myself. Apparently, 51% of voters ARE too stupid to figure this out.


bobd1953


Jul 21, 2005, 11:46 PM
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This is an EASY problem to solve. We already pay more for less. GOD, if only someone would let me take a crack at that one and split the difference of the savings with me! Are we really so stupid that we can’t figure out how to do this at least as good, if not better, than the Europeans? Oh wait, I can answer that myself. Apparently, 51% of voters ARE too stupid to figure this out.

Peter- like I said before...you can't use logic on these two. It just won't work. :lol:

I am meeting Reno for some climbing near Taos on Monday. Are you in? We can knock some sense into the boy.


bobd1953


Jul 21, 2005, 11:50 PM
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Curt, you commie, pinko bastard.

No, he is just an old school republican. Big difference from the wackhead running the party now.


Reno-FYI:

WORLD HEALTH ORGANIZATION
ASSESSES THE WORLD'S HEALTH SYSTEMS

The World Health Organization has carried out the first ever analysis of the world’s health systems. Using five performance indicators to measure health systems in 191 member states, it finds that France provides the best overall health care followed among major countries by Italy, Spain, Oman, Austria and Japan.

The findings are published today, 21 June, in The World Health Report 2000 – Health systems: Improving performance.

The U. S. health system spends a higher portion of its gross domestic product than any other country but ranks 37 out of 191 countries according to its performance, the report finds. The United Kingdom, which spends just six percent of gross domestic product (GDP) on health services, ranks 18th . Several small countries – San Marino, Andorra, Malta and Singapore are rated close behind second- placed Italy.

WHO Director-General Dr Gro Harlem Brundtland says: "The main message from this report is that the health and well-being of people around the world depend critically on the performance of the health systems that serve them. Yet there is wide variation in performance, even among countries with similar levels of income and health expenditure. It is essential for decision- makers to understand the underlying reasons so that system performance, and hence the health of populations, can be improved."

Dr Christopher Murray, Director of WHO’s Global Programme on Evidence for Health Policy. says: "Although significant progress has been achieved in past decades, virtually all countries are underutilizing the resources that are available to them. This leads to large numbers of preventable deaths and disabilities; unnecessary suffering, injustice, inequality and denial of an individual’s basic rights to health."

The impact of failures in health systems is most severe on the poor everywhere, who are driven deeper into poverty by lack of financial protection against ill- health, the report says.

"The poor are treated with less respect, given less choice of service providers and offered lower- quality amenities," says Dr Brundtland. "In trying to buy health from their own pockets, they pay and become poorer."


hugepedro


Jul 22, 2005, 12:10 AM
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This is an EASY problem to solve. We already pay more for less. GOD, if only someone would let me take a crack at that one and split the difference of the savings with me! Are we really so stupid that we can’t figure out how to do this at least as good, if not better, than the Europeans? Oh wait, I can answer that myself. Apparently, 51% of voters ARE too stupid to figure this out.

Peter- like I said before...you can't use logic on these two. It just won't work. :lol:

I am meeting Reno for some climbing near Taos on Monday. Are you in? We can knock some sense into the boy.

Love to, but I'm not such an optimist as you. :wink:

No, unfortunately, I have to go to Minneapolis on Monday.


reno


Jul 22, 2005, 12:24 AM
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You seem to be side stepping one major aspect of this. Namely, government funded health care in the US is significantly more costly than our private health.


Why?

Again, I ask: Name one thing the government does that resembles cost-efficient.

1) Public schooling of our children.
2) Public highway and road infrastructure.
3) Water distribution.

You claim that our educational system is cost efficient, yet we constantly hear of how poorly educated our children are. Nice.

I don't think the highway system is cost efficient.

I'll give you water, but only because it's run by sub-contracted agencies (Public Utility Model) and not the federal government... I pay my water bill to the city of Scottsdale now, but when I was in Denver, I paid the city of Denver. I'd hardly call that a federal system.

Nice try, though.


reno


Jul 22, 2005, 12:33 AM
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I'll play.

4) Delivering mail from anywhere to anywhere in a matter of days (Postal Service is one of my clients right now, heh heh).
5) Aviation infrastructure and safety.
6) National (actually, world) defense.
7) Management of our electrical power infrastructure.
8) Assurance of our food supply, both quantity and safety.
9) Science and technology R&D (did you know the vast majority of drug patents are based on government funded research?)

Delivery of mail... OK, can't argue that one. But let's admit that the USPS got much better at this after competition came into play.

Talk to air traffic controllers, and they'll tell you that we're still using outdated 1950s methodology to manage air traffic.

National/World Defense: So you approve of the way our military spends money?

Electrical Power: Again, this is a PUM, not the federal government per se that runs this.

"Assurance of the food supply" is done by farmers, Pedro. The feds may subsidize, by offering money, loans, etc., but the people who grow the food are not federal gov't. employees, are they?

And finally, funding drug research is hardly the same as DOING the research. I'll grant you that some good data and science comes from places like NIH, Bethesda, Walter Reed, etc., but if you think they do ALL the drug/medical/science research, you're deluding yourself.

Wish you could join us Monday.... would be fun, even if I would be outnumbered. Another time, perhaps.

Oh, yeah... that WHO study? It ranked mostly things like cancer screening, transplant access, etc. The problems here are too numerous to mention, but tell me: How can Dr. Whomever screen for cancer if the patients at risk for cancer never come to the office?


curt


Jul 22, 2005, 12:46 AM
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You seem to be side stepping one major aspect of this. Namely, government funded health care in the US is significantly more costly than our private health.


Why?

Again, I ask: Name one thing the government does that resembles cost-efficient.

1) Public schooling of our children.
2) Public highway and road infrastructure.
3) Water distribution.

You claim that our educational system is cost efficient, yet we constantly hear of how poorly educated our children are. Nice.

I don't think the highway system is cost efficient.

I'll give you water, but only because it's run by sub-contracted agencies (Public Utility Model) and not the federal government... I pay my water bill to the city of Scottsdale now, but when I was in Denver, I paid the city of Denver. I'd hardly call that a federal system.

Nice try, though.

You said "the government" not our federal system. Nice try, though. :wink: Also, please explain exactly how you think our highway system would be more cost efficient if privately owned. Thanks.

Curt


reno


Jul 22, 2005, 5:11 AM
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You said "the government" not our federal system. Nice try, though. :wink: Also, please explain exactly how you think our highway system would be more cost efficient if privately owned. Thanks.

Well, gee, Curt, since we're talking about NATIONAL healthcare systems, I kinda figured that NATIONAL government was implied. Sorry for the erroneous assumption. I'll try to do better next time.

Secondly, I think it's been shown time and time again that private, contracted agencies do nearly all tasks better than the federal government. Sure, there are things the feds do that a private company couldn't... Military, Disaster relief, HUD, etc.,... but are you suggesting that the feds are inherently more efficient than a private enterprise? If so, then I'd ask two things:

1. Please expand on this, with examples.
2. Who the hell are you, and what did you do with Curt?

I guess it boils down to this: Y'all seem to have much more faith in the federal government than I do. For my money, I'd rather be responsible for my own well-being, thanks.

YMMV.


thorne
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Jul 22, 2005, 12:47 PM
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You seem to be side stepping one major aspect of this. Namely, government funded health care in the US is significantly more costly than our private health.


Why?

Again, I ask: Name one thing the government does that resembles cost-efficient.

1) Public schooling of our children.
2) Public highway and road infrastructure.
3) Water distribution.

You claim that our educational system is cost efficient, yet we constantly hear of how poorly educated our children are. Nice.

I don't think the highway system is cost efficient.

I'll give you water, but only because it's run by sub-contracted agencies (Public Utility Model) and not the federal government... I pay my water bill to the city of Scottsdale now, but when I was in Denver, I paid the city of Denver. I'd hardly call that a federal system.

Nice try, though.

You said "the government" not our federal system. Nice try, though. :wink: Also, please explain exactly how you think our highway system would be more cost efficient if privately owned. Thanks.

Curt

Most of our roads are built by private companies. The governmet handles minor maintenance. Anyhow, this is a bad comparison. For one, our roads system is a pay as you go program. Ever heard of gasoline taxes?

As far as public education goes, here are some fun numbers:
In reply to:
1. According to the 2000 NAEP assessments, only 32 percent of 4th graders are proficient in reading
2. Only 26 percent are proficient in mathematics
3. Only 29 percent are proficient in science
4. Only 18 percent are proficient in history
5. Proficiency rates decline by the 12th grade in most subjects. Over half of all poor students fail to reach the basic level on NAEP assessments in most subjects.
6. Internationally comparisons conclude that despite higher than average per-pupil expenditures, American 8th graders ranked 19th out of 38 countries on the most recent international mathematics comparison, the Third International Mathematics and Science Study-Repeat (TIMSS-R) of 1999. American students scored 18th out of 38 countries in science.
7. On the TIMSS 1995 study, which tested 12th graders, American students were ranked 19th out of 21 countries in both math and science general knowledge.
Sure thing... our public education system kicks ass. We spend more than most countries and we're 19th out of 21.

In just about every program mentioned by Curt and Pedro (excluding education), it's a pay as you go program. Even where upfront capital costs are incurred. Recouping those costs are incorporated into the fees charged.

Pedro said "This is an EASY problem to solve. "

Okay smart guy, let's hear it. How about some realistic and practical solutions. I'm not really interested in idiotic fantasies likethat stupid shit offered up by boob.

Any of you universal health care advocates want to tell how medicare and medicaid have been booming successes?

My guess is you are so enamored with the idea of universal health care, you're oblivious to how it would be implemented. I notice several of you call nonsense on my "numbers based" posts, yet not a single one of my points as been shown to be flawed.

Curt - Is it really absurd to anticipate a 300% increase in costs for a 300% increase in production?

Bob - Don't strain your little brain. Every time I hand you your ass with facts your retort is mockery. So lame.

I recognize that many countries have universal health care that is less expensive than our private health care and may be superior, but looking at how things work in this country (politicians, govt. buearacraies(sp?), our general zeitgiest), implementing universal health care is a pipe dream.

Our government has a disastrous history regarding public health care. Before putting everyone in the same life raft, perhaps the government should demonstrate a reasonable level of competence in the existing programs.


traddad


Jul 22, 2005, 1:41 PM
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You said "the government" not our federal system. Nice try, though. :wink: Also, please explain exactly how you think our highway system would be more cost efficient if privately owned. Thanks.
Curt

I personally deal regularly with the private contractors that the government hires to build our roads. A more profligate, uncaring, money hungry, bunch of robber baron wannabes I have never met. We regularly have to threaten them with sanctions in order to force them to implement even the smallest, least costly environmental best management practices. When the shit hits the proverbial fan due to their carelessness, they pack hearings with phalanxes of lawyers arguing the jot and tittle of any situation. If they would spend half the money they spend on lawyers on actually following the rules they'd be golden.
The earth is there for them to mine until it's a smoking cinder....then God will give us another planet. Fuck the trout.


thorne
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Jul 22, 2005, 2:08 PM
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I could go on. Contrary to Republican propaganda, MOST of what the government does it actually does quite well, especially when you consider all the differing constituencies that must be served.

This would explain why we've had federal deficits every year, for the last forty-five years. Yes bob, it's a fact

In the last fifty years, which years have costs not increased?


bobd1953


Jul 22, 2005, 2:26 PM
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Bob - Don't strain your little brain. Every time I hand you your ass with facts your retort is mockery. So lame.

Keep this kind of shit up and we will see who ass get handed too them. Can't wait to meet you in person and then you can see how lame I am.

And that is FACT!


thorne
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Jul 22, 2005, 2:44 PM
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Bob - Don't strain your little brain. Every time I hand you your ass with facts your retort is mockery. So lame.

Keep this kind of s--- up and we will see who ass get handed too them. Can't wait to meet you in person and then you can see how lame I am.

And that is FACT!

See Bob, the thing about hurling out petty insults and lame ass putdowns is you can't get all pissy when the opposition returns fire. Something to ponder.


bobd1953


Jul 22, 2005, 2:50 PM
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See Bob, the thing about hurling out petty insults and lame ass putdowns is you can't get all pissy when the opposition returns fire. Something to ponder.

You started the name calling (BooB and such) I try to keep it civil. You don't agree with the way I think and I feel the same for you.

The only thing to ponder is if we meet and then we will take it from there. You can end it here or...


traddad


Jul 22, 2005, 3:06 PM
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You two....go to your rooms!....and don't make me get the belt.......


thorne
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Thorne read this. We spend 14-per-cent of GDP on health care, we only cover 28 per-cent of the population.

How'd you reach that conclusion, Einstein?

If you're talking about the chart on page 2, the 14% applies to ALL health care and the 28% has to do with the population receiving PUBLIC health care.

In reply to:
And you see the other countries system as bad??

I never said anything of the sort. You seem consistently unable to base your statements in reality.

Ending it here sounds good.... if you're willing to own up to the FACT that both your assertions (above) are completely bogus. 8^)


bobd1953


Jul 22, 2005, 3:30 PM
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Them's some big ol' numbers you got there, Bob. Do you have any idea what they mean?

Flaming aside,

You wrote this back on page two. I did not insult you or call you names. You set the tone. You are a coinciding little shit. I be willing to finish this when we meet. Drop it now or it is only going to get worst.


thorne
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Them's some big ol' numbers you got there, Bob. Do you have any idea what they mean?

Flaming aside,

You wrote this back on page two. I did not insult you or call you names. You set the tone.

That was obviously (at least to me) a reference to your faulty assertion in another thread that Clinton reduced the debt to near nothing.
In reply to:
Bush-The-First left a staggering (at that time) 290 billion dolllar debt!!! Clinton along with republicans in power reduced that to a near nothing by 1997.
And let's not overlook the fact that when I showed that you were completely wrong, you had nothing more than a lame putdown.

I notice you're unwilling to own up to your bullshit assertions on this thread, too.


hugepedro


Jul 22, 2005, 6:09 PM
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Delivery of mail... OK, can't argue that one. But let's admit that the USPS got much better at this after competition came into play.
Reno, the first thing I learned on day 1 in the USPS headquarters is that NOBODY competes with the U.S. Postal Service. They transport mail form the bottom of canyons to the tops of mountains, in a matter of days, and nobody else is in that business, not before, and not now. And the USPS doesn’t cost the taxpayer 1 frickin cent.

In reply to:
Talk to air traffic controllers, and they'll tell you that we're still using outdated 1950s methodology to manage air traffic.
I know what they are working with, I’ve worked with the FAA. Their methodologies and processes are solid. It’s their equipment that is in many cases old. And yet thanks to them and the NTSB (yet another highly successful government agency) traveling by air in the U.S. is the safest and most convenient way to go. So they're delivering the highest possible quality while using old, completely paid for and depreciated equipment. Is that not the epitome of efficiency?

In reply to:
National/World Defense: So you approve of the way our military spends money?
What I don’t approve of are our defense goals and strategies, set by the politicians. The amount of spending is commensurate with those goals, and the DoD does a fantastic job with both the mission and the resources they are given. I think we could cut our spending to a quarter of what it is today and still be secure, probably more secure actually, but that is another debate.

In reply to:
Electrical Power: Again, this is a PUM, not the federal government per se that runs this.

"Assurance of the food supply" is done by farmers, Pedro. The feds may subsidize, by offering money, loans, etc., but the people who grow the food are not federal gov't. employees, are they?

And finally, funding drug research is hardly the same as DOING the research. I'll grant you that some good data and science comes from places like NIH, Bethesda, Walter Reed, etc., but if you think they do ALL the drug/medical/science research, you're deluding yourself.
And why would national health coverage be implemented any differently than any of the above models? The government would provide funding and set the standards, private industry would deliver the services.


I know we are debating on the criterion of efficiency, but I think there are other just as important, if not more importent, criteria by which to measure the performance of government programs.


thorne
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Jul 22, 2005, 6:37 PM
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And the USPS doesn’t cost the taxpayer 1 frickin cent.
Since when is postage free?

In reply to:
And why would national health coverage be implemented any differently than any of the above models? The government would provide funding and set the standards, private industry would deliver the services.

Many of those programs (USPS, electric cos, city water) charge fees for their services. Others, like medical research, involve insignificant amounts compared to nationwide health care.

National defense is the only thing of comparable size and even though running the DOD is a huge task, I doubt it is as complicated as taking care of 230 million people.

While this problem needs to be handled, I don't think the Federal government (with its history of fiscal irresponsibility) is the solution.


reno


Jul 22, 2005, 7:35 PM
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Delivery of mail... OK, can't argue that one. But let's admit that the USPS got much better at this after competition came into play.
Reno, the first thing I learned on day 1 in the USPS headquarters is that NOBODY competes with the U.S. Postal Service. They transport mail form the bottom of canyons to the tops of mountains, in a matter of days, and nobody else is in that business, not before, and not now. And the USPS doesn’t cost the taxpayer 1 frickin cent.

Sure, but that's a pay for use system... if I don't use the system, I don't pay for it (unless the USPS gets a subsidy out of the federal budget... I don't know if they do or not, so I'll withold further comment until I do.)

Different than the concept of universal socialized medicine: In that system, EVERYONE that pays taxes will be contributing to the system, even if you never need it.

Which brings me to a third, not yet mentioned point: The healthcare system is overworked. Hospitals are packed full, with lines to get in (the hospital at which I work has 280 beds. On any given day, even in the summer, all 280 of those are full. We put people in beds in the hallway, back corners, closets, etc.... anywhere you can find space.) If you make healthcare free to everyone no matter what, it is not unreasonable to expect that to get worse.

People who now make a judgement call ("Gee, I feel kinda sick, runny nose, congestion, all that. Should I go to the ER, or should I just tough it out for a day or two, see if it breaks on it's own? Well, the ER will cost me some money, and times are tight... maybe I'll just drink my OJ, eat some chicken soup, and sack up.") will then be saying "Hell, I pay for it, might as well go."

Healthcare is a service. Just like anything else: Lawn care, fire suppression, food service, entertainment. And, like all services, you have to make a decision: Do you want the service or not? If you do, it is reasonable to expect you shall have to pay for that service. Nothing is free. Nobody deserves a handout.

I think this fundamental concept is where you and I differ, Pedro. I see your view... that healthcare is a "right" and should be provided. But food is a basic right, too, and you're certainly not advocating that the government should give out free food to everyone, are you? Shelter is a right.... should the gov't. give everyone a free house?

Even if that person can pay for it? Why should Oprah Winfrey be given a free house, free food, etc., when she can pay for it?

In reply to:
In reply to:
Talk to air traffic controllers, and they'll tell you that we're still using outdated 1950s methodology to manage air traffic.
I know what they are working with, I’ve worked with the FAA. Their methodologies and processes are solid. It’s their equipment that is in many cases old. And yet thanks to them and the NTSB (yet another highly successful government agency) traveling by air in the U.S. is the safest and most convenient way to go. So they're delivering the highest possible quality while using old, completely paid for and depreciated equipment. Is that not the epitome of efficiency?

Not really, but you're point is made. Think of how much more efficient they could be if they had modern stuff.


In reply to:
And why would national health coverage be implemented any differently than any of the above models? The government would provide funding and set the standards, private industry would deliver the services.

How's that different than what we have now? The gov't funds healthcare for people who can't afford it, through programs like Medicaid and Medicare. If you want to argue that those programs need revamped and revised to be more efficient, I'm right there with you, because they do.

[Side]
Did you know that right now, Medicare decides how much an ambulance can get paid for any given case? If I pick up a patient in the ambulance, provde them care worth, say, $500, that they NEED, my ambulance service will send that bill to Medicare. The HCFA will review it, with all the clarity afforded by the retrospectroscope, and decide.... post hoc... that $200 of that care wasn't really needed. So they pay $300 of $500 (60%.) It is illegal for the service to then come back and bill the patient for the balance.

So, how do you think an ambulance service can stay in business when they only get paid 60% of what they spend? If a hotel gave 40% of their rooms away every night, would they stay in business long? Would a diner? Would a clothier's shop?
[/side]

So we currently have the gov't making decisions about what care we can get, and it's not working, and you want to increase their powers? No, thank you.

You wanna believe in the power of national healthcare, that's your lookout. I don't like the idea, though... the system we have needs fixed, but socialized medicine isn't the solution IMHO.

{Edited to fix some HTML tags}


thorne
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Thorne read this. We spend 14-per-cent of GDP on health care, we only cover 28 per-cent of the population.

How'd you reach that conclusion, Einstein?

If you're talking about the chart on page 2, the 14% applies to ALL health care and the 28% has to do with the population receiving PUBLIC health care.

In reply to:
And you see the other countries system as bad??

I never said anything of the sort. You seem consistently unable to base your statements in reality.

Ending it here sounds good.... if you're willing to own up to the FACT that both your assertions (above) are completely bogus. 8^)

You're a real stand up guy. :wink:


bobd1953


Jul 22, 2005, 9:19 PM
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thorne wrote:
thorne wrote:
bobd1953 wrote:
Thorne read this. We spend 14-per-cent of GDP on health care, we only cover 28 per-cent of the population.


How'd you reach that conclusion, Einstein?

If you're talking about the chart on page 2, the 14% applies to ALL health care and the 28% has to do with the population receiving PUBLIC health care.

Quote:
And you see the other countries system as bad??


I never said anything of the sort. You seem consistently unable to base your statements in reality.


Ending it here sounds good.... if you're willing to own up to the FACT that both your assertions (above) are completely bogus.


You're a real stand up guy.

Do you like a having conversation with yourself??


curt


Jul 22, 2005, 10:01 PM
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Healthcare is a service. Just like anything else: Lawn care, fire suppression, food service, entertainment. And, like all services, you have to make a decision: Do you want the service or not? If you do, it is reasonable to expect you shall have to pay for that service. Nothing is free. Nobody deserves a handout.

This is rather poor reasoning on your part. We pay for all kinds of things (through taxes) whether we use them or not. Have any kids? Well, your property taxes fund schools whether you do.....or you don't. Do you drive? Again, taxes maintain our roads whether you personally use them....or not. Ever been to a National Park? Same thing there--the list goes on and on. I merely argue that healthcare is important enough to everyone in this country that its infrastructure should be provided similarly.

Curt


Partner one900johnnyk


Jul 22, 2005, 10:19 PM
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i gotta admit, i thought it was getting old but this is SO MUCH more fun and productive the 234,564th time around!!!! yeahhh!!!


thorne
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And let's not overlook the fact that when I showed that you were completely wrong, you had nothing more than a lame putdown.

I notice you're unwilling to own up to your bullshit assertions on this thread, too.

Some things need repeating. :wink:


bobd1953


Jul 22, 2005, 10:31 PM
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Some things need repeating.

To yourself?

Keep up the mantra.

You are about the only one on this site who takes what you say with a grain of salt anyway. :lol:

You never really told me why a man ( I use that loosely) in his late 40s would call himself BUMBLIE. Please explain.


hugepedro


Jul 22, 2005, 11:14 PM
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Sure, but that's a pay for use system... if I don't use the system, I don't pay for it (unless the USPS gets a subsidy out of the federal budget... I don't know if they do or not, so I'll withold further comment until I do.)

Different than the concept of universal socialized medicine: In that system, EVERYONE that pays taxes will be contributing to the system, even if you never need it.
I thought we were debating whether government agencies can be efficient? How to fund health care is not relative to that point.

They do receive funding for things like investment in infrastructure, but overall they run in the black. They actually fund other government programs, VA benefits being one.

In reply to:
Which brings me to a third, not yet mentioned point: The healthcare system is overworked. Hospitals are packed full, with lines to get in (the hospital at which I work has 280 beds. On any given day, even in the summer, all 280 of those are full. We put people in beds in the hallway, back corners, closets, etc.... anywhere you can find space.) If you make healthcare free to everyone no matter what, it is not unreasonable to expect that to get worse.
So, are you saying that because there are issues with the current system (which us progressives are trying to improve) for those who can afford care, that we’d better not provide care for the poorest because that will just make it worse for everyone? In my view that’s a morally dubious position to hold.

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People who now make a judgement call ("Gee, I feel kinda sick, runny nose, congestion, all that. Should I go to the ER, or should I just tough it out for a day or two, see if it breaks on it's own? Well, the ER will cost me some money, and times are tight... maybe I'll just drink my OJ, eat some chicken soup, and sack up.") will then be saying "Hell, I pay for it, might as well go."

I think you know this (and this is also related to the above point) – everyone in this country gets health care. Those who have no ability to pay still get treated. The problem is that we are delivering care to them at the absolutely highest possible cost, and with the lowest possible benefit. Rather than preventative care (the lowest possible cost with the highest possible long-term benefit), we are treating them after the fact, when late discovery does great damage. I think this is the major reason why we pay far more than other countries (in some cases twice as much), with less benefit. Even beyond the numbers of cost of service there are huge societal costs from this approach. This is one of the reasons why this problem would be easy to fix, one couldn’t possible design a more inefficient system than what we have now. The money is ALREADY BEING SPENT! I just don’t see any way how we could fail to deliver better care at a wash, if not at a savings.

In reply to:
Healthcare is a service. Just like anything else: Lawn care, fire suppression, food service, entertainment. And, like all services, you have to make a decision: Do you want the service or not? If you do, it is reasonable to expect you shall have to pay for that service. Nothing is free. Nobody deserves a handout.
So then, just out of principle, I expect you don’t drive on interstate highways, right? This isn’t about handouts or free rides, it’s about deciding what is best for our society as a whole. Why would you exclude health care, with its enormous social and economic benefits, yet include interstate highways?

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I think this fundamental concept is where you and I differ, Pedro. I see your view... that healthcare is a "right" and should be provided. But food is a basic right, too, and you're certainly not advocating that the government should give out free food to everyone, are you? Shelter is a right.... should the gov't. give everyone a free house?

Even if that person can pay for it? Why should Oprah Winfrey be given a free house, free food, etc., when she can pay for it?
Boy, that’s an awful long stretch from saying everyone should get health care to saying the government should provide all health care to all peoples. The government does provide free food and shelter to those who need it, we can do the same with health care.

But I agree this is a fundamental concept where we apparently differ. For me, there are 3 motivating forces underlying my desire to see universal health care.

1) It’s a matter of being true to the American values and our founding principles that I cherish. Life, liberty, and the pursuit of happiness. Equal opportunity. The promise of America is not available to the poorest among us if we fail to provide a modicum of health care to those who cannot afford it. To me it is a huge national failure, and I want my country to be great in every regard possible.

2) It’s a matter of moral principle. How many poor children have no coverage? Is it their fault? We are a morally bankrupt nation if we turn our backs on them.

3) It’s a matter of pragmatism. It is easy to see how the current system is the most inefficient imaginable. It is also easy to see what ALL the other “civilized” countries do. And it would be equally easy to either match or improve upon their cost/benefit performance.

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Think of how much more efficient they could be if they had modern stuff.

I doubt it. They are already delivering a very very high level of service. The room for improvement is very slim, even with modern equipment. New equipment would tip the efficiency scale toward the cost side, so the net could be a decrease in efficiency. Of course, they will have to replace aging equipment at some point anyway.

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How's that different than what we have now? The gov't funds healthcare for people who can't afford it, through programs like Medicaid and Medicare. If you want to argue that those programs need revamped and revised to be more efficient, I'm right there with you, because they do.
I agree that those programs can improve. But they don’t even come close to covering everyone who can’t afford it, so I see a big difference. Hell, the Repubs are even trying to knock these ones down by cutting funding.

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[Side]
Did you know that right now, Medicare decides how much an ambulance can get paid for any given case? If I pick up a patient in the ambulance, provde them care worth, say, $500, that they NEED, my ambulance service will send that bill to Medicare. The HCFA will review it, with all the clarity afforded by the retrospectroscope, and decide.... post hoc... that $200 of that care wasn't really needed. So they pay $300 of $500 (60%.) It is illegal for the service to then come back and bill the patient for the balance.

So, how do you think an ambulance service can stay in business when they only get paid 60% of what they spend? If a hotel gave 40% of their rooms away every night, would they stay in business long? Would a diner? Would a clothier's shop?
[/side]
These, and all the other anecdotal evidence you’ve offered, can be addressed. These are exactly the sort of issue that could be solved.


reno


Jul 22, 2005, 11:55 PM
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I thought we were debating whether government agencies can be efficient? How to fund health care is not relative to that point.

The debate started by someone (I think it was Bob,) saying that we needed to have a universal, federally provided healthcare system like GB, Canada, et al. I disagree, as I don't think such a system would be efficient. That's how we got to the concept of government efficiency.

Thread drift... happens every time. :)

In reply to:
They do receive funding for things like investment in infrastructure, but overall they run in the black. They actually fund other government programs, VA benefits being one.

Interesting. Didn't know that.

In reply to:
So, are you saying that because there are issues with the current system (which us progressives are trying to improve) for those who can afford care, that we’d better not provide care for the poorest because that will just make it worse for everyone? In my view that’s a morally dubious position to hold.

Whoa, there... back the truck up. I've never said anything about refusing care to anyone. Read what I wrote again... What I'm saying is that providing free care to everyone is a bad idea in my opinion. That's a far, far cry from saying "refuse care to poor people." Such a stretch, in fact, that I'm having trouble figuring out how you made that connection.


In reply to:
I think you know this (and this is also related to the above point) – everyone in this country gets health care. Those who have no ability to pay still get treated.

Damn... that point was my ace in the hole, and you beat me to it.

You're right. Everyone in the country gets healthcare, regardless. Some folks pay for it... because they CAN pay for it. Some folks get it free, because they can not. But I know of nobody... NOBODY... who has been totally refused healthcare when they really needed it.

Even foreigners who are in the US -- legally, as a vacation, or illegally, as "undocumented migrant workers" (we got a lot of those here... you do too, I trust,) will get treated regardless of ability to pay.

So it kinda pisses me off when people say things like "The poor have no access to healthcare." That's bull, and anyone that has a modicum of knowledge about the system will agree.

Here's the caveat: While an uninsured person with a fractured leg might not get his surgical care at the Steadman-Hawkins Clinic of Vail, he will get taken care of. And, lest anyone says otherwise, the poor are not getting substandard care. Many such cases are treated at "county" hospitals or "safety net" hospitals, who are frequently associated with an academic university medical school. In Atlatna, for example, the poor and indigent often get treated at Grady Memorial Hospital, where the doctors all come from Emory Univ. School of Medicine. That's free world class care.

In reply to:
The problem is that we are delivering care to them at the absolutely highest possible cost, and with the lowest possible benefit. Rather than preventative care (the lowest possible cost with the highest possible long-term benefit), we are treating them after the fact, when late discovery does great damage. I think this is the major reason why we pay far more than other countries (in some cases twice as much), with less benefit.

Several good points here... you're right, we (as a nation) do poorly with preventative care. Some of that is the fault of the doctors, nurses, etc. Much of that, however, is the fault of the patient. I see, read, and hear of patients who, rather than spend $20 on medicine, spend $20 on booze. Hard to hold the system at fault for the failures of the patients, yes?

We're also a nation of obese, self-abusive, sedentary folks... we don't exercise the way we should (present company excluded.) Kids spend afternoons in front of the X-box rather than in the park or backyards. Adults leave work, head to the tavern for a plate of nachos and a pitcher of beer rather than grill a lean cut of pork and spend an hour on a treadmill. We drink, use drugs, and otherwise do bad things to our general health.

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Boy, that’s an awful long stretch from saying everyone should get health care to saying the government should provide all health care to all peoples. The government does provide free food and shelter to those who need it, we can do the same with health care.

We do. The difference is that a socialized system is free to everyone. That's what I have contention with. It provides free care to people who don't need free care, because they can afford to pay for it. What's wrong with that approach?

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1) It’s a matter of being true to the American values and our founding principles that I cherish. Life, liberty, and the pursuit of happiness. Equal opportunity. The promise of America is not available to the poorest among us if we fail to provide a modicum of health care to those who cannot afford it. To me it is a huge national failure, and I want my country to be great in every regard possible.

Again, we do provide care to those that can't afford it. And part of the foundation of America is that her people are typically the type who are willing to tighten the belt a notch, roll up the sleeves, and WORK to earn what they get. We've gotten away from that, and we now have a lot of people who feel some sense of entitlement, and that they shouldn't have to work. I think that's a shame, but I digress.

In reply to:
2) It’s a matter of moral principle. How many poor children have no coverage?

None.


bobd1953


Jul 22, 2005, 11:57 PM
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We do. The difference is that a socialized system is free to everyone. That's what I have contention with. It provides free care to people who don't need free care, because they can afford to pay for it. What's wrong with that approach?

Wrong Reno...it comes out of their taxes. Ask Marge.


reno


Jul 23, 2005, 12:04 AM
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We do. The difference is that a socialized system is free to everyone. That's what I have contention with. It provides free care to people who don't need free care, because they can afford to pay for it. What's wrong with that approach?

Wrong Reno...it comes out of their taxes. Ask Marge.

You know what I meant, Bob. Don't try to split hairs.


Partner macherry


Jul 23, 2005, 12:53 AM
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We do. The difference is that a socialized system is free to everyone. That's what I have contention with. It provides free care to people who don't need free care, because they can afford to pay for it. What's wrong with that approach?

Wrong Reno...it comes out of their taxes. Ask Marge.

definitely not free, i pay 108.00 deductable a month for health care (for me and 2 kids). That's just the provincial charge, each province decides how much deductable to charge. I used to live in saskatchewan where there was no deductable. The provincial tax rate was higher. The majority of the health care funds comes from taxes through the federal govt. AND we are taxed more than the states. But, the rich do pay they fair share. It's not perfect by any means, but it does work. I've never had any problem getting the medical care my family or I have needed.


bobd1953


Jul 23, 2005, 1:26 AM
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The debate started by someone (I think it was Bob,) saying that we needed to have a universal, federally provided healthcare system like GB, Canada, et al. I disagree, as I don't think such a system would be efficient. That's how we got to the concept of government efficiency.

I said the current system is broke. We spend more of our GDP per-centage wise on health care and give less back to the people compare to a number of other first world countries. On the whole the care in those countries is on level and if not better than our.

Things need to change. I pay close to $900 a month for coverage for my family. It is fecking outta hand and it doesn't take a genuis to figure that out.

I also get a fair amount of taxes taken out of my pay. I get taxes on gas, clothes, food, furniture and so on...

Most Americans are holding on for dear life and many are about to go under.

I want a good education system that will prepare our childern for success. I want a health care system that is open and available for all Americans. I also want our leader to lead, have some balls and stop being led around on leash by lobbyists.

We let past and current government be inefficient...and our children are going to pay the price.


reno


Jul 23, 2005, 5:28 AM
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I said the current system is broke. We spend more of our GDP per-centage wise on health care and give less back to the people compare to a number of other first world countries. On the whole the care in those countries is on level and if not better than our.

Agree that the system is broke. Disagree that on the whole the care in those countries is equal or better than ours. Equal, perhaps, in SOME countries for SOME aspects of care. But if the rest of the world is so much better than we at healthcare, why are people from all corners of the globe coming HERE to get healthcare?

Did you know that one of the Saudi royal family has a son with Sickle Cell disease, and that his son flies to the US to get medical care in Atlanta?

This is from Saudi Arabia, arguably one of the wealthiest countries in the world. And yet they come here... cause we provide things no other country can. Think on that for a while.

In reply to:
Things need to change. I pay close to $900 a month for coverage for my family. It is fecking outta hand and it doesn't take a genuis to figure that out.

Agreed, but you should be taking your fight to the insurance companies, not the healthcare providers.

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I also get a fair amount of taxes taken out of my pay. I get taxes on gas, clothes, food, furniture and so on...

See Marge's post, but if you want socialized medicine, you'll be paying MORE taxes. You don't want that, do you?

In reply to:
I want a good education system that will prepare our childern for success. I want a health care system that is open and available for all Americans.

Here's the secret that most people forget when they argue politics: Everyone wants the same things. Both Republicans and Liberals want better education, better healthcare, safer communities with less crime, freedom, happiness, a fair shake at making it in the world, a robust economy with good jobs, etc.

It amazes me when people think that one specific group doesn't want any of those things. To think so reveals a lack of faith in humanity, and a narrow scope of vision. We all want the same things. We just differ in how we think they'd be best provided.

Good discussion.


bobd1953


Jul 23, 2005, 2:17 PM
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Reno wrote: Agree that the system is broke. Disagree that on the whole the care in those countries is equal or better than ours. Equal, perhaps, in SOME countries for SOME aspects of care. But if the rest of the world is so much better than we at healthcare, why are people from all corners of the globe coming HERE to get healthcare?

Did you know that one of the Saudi royal family has a son with Sickle Cell disease, and that his son flies to the US to get medical care in Atlanta?

This is from Saudi Arabia, arguably one of the wealthiest countries in the world. And yet they come here... cause we provide things no other country can. Think on that for a while.

That is a horrible example. I am talking about health care for the people who don't have the money to private jet their child anywhere on the globe.
Quote:

Reno wrote:Agreed, but you should be taking your fight to the insurance companies, not the healthcare providers.

Bullshit! It not just the insurance companies, it the whole system. Doctors, nurses, hospitals, insurance companies and so on...

Reno wrote: See Marge's post, but if you want socialized medicine, you'll be paying MORE taxes. You don't want that, do you?

That was my point Reno. We pay a shit load of taxes, on a federal, state and local level. Tax me $1,000 to $1,500 more a year for health care. I will still save $9,000.

Reno wrote:Here's the secret that most people forget when they argue politics: Everyone wants the same things. Both Republicans and Liberals want better education, better healthcare, safer communities with less crime, freedom, happiness, a fair shake at making it in the world, a robust economy with good jobs, etc.

It amazes me when people think that one specific group doesn't want any of those things. To think so reveals a lack of faith in humanity, and a narrow scope of vision. We all want the same things. We just differ in how we think they'd be best provided.

Good discussion.

It is a big secret and thanks for letting the cat out of the bag. :shock:

I blame the American people for letting our leaders play partisian politics. They very rarely ever do what good for the masses and with current state of polarization in America, things are just going to get worst.


hugepedro


Jul 23, 2005, 7:07 PM
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Boy, that’s an awful long stretch from saying everyone should get health care to saying the government should provide all health care to all peoples. The government does provide free food and shelter to those who need it, we can do the same with health care.

We do. The difference is that a socialized system is free to everyone. That's what I have contention with. It provides free care to people who don't need free care, because they can afford to pay for it. What's wrong with that approach?

In reply to:
1) It’s a matter of being true to the American values and our founding principles that I cherish. Life, liberty, and the pursuit of happiness. Equal opportunity. The promise of America is not available to the poorest among us if we fail to provide a modicum of health care to those who cannot afford it. To me it is a huge national failure, and I want my country to be great in every regard possible.

Again, we do provide care to those that can't afford it. And part of the foundation of America is that her people are typically the type who are willing to tighten the belt a notch, roll up the sleeves, and WORK to earn what they get. We've gotten away from that, and we now have a lot of people who feel some sense of entitlement, and that they shouldn't have to work. I think that's a shame, but I digress.

In reply to:
2) It’s a matter of moral principle. How many poor children have no coverage?

None.

Reno, I don't think we are very far apart on this issue.

When I say we need a national health care system that ensures everyone is covered, I'm not talking about a socialized system, fully funded by taxes, that covers everyone. I think it can be much simpler than that. All we need to do is make sure that all children have access to quality care, and that the 40 million uninsured, or whatever the number is, also have care available to them.

I want to clarify a term though. We've been talking about care, and how everyone gets it when they need it. Well to me there's a huge difference between treatment and health care. Treatment is what everyone can get today, after the fact. Health care, to me, means regular checkups and preventative care, as well as treatment. I think the biggest problem with our system is that many people, the poorest people, receive only treatment. We can realize tremendous financial and social benefits if we can change this one factor.

And now for a tangent. Your comment about people not taking care of themselves, and obesity. I curse our obesity problem every time I fly on a plane and I see that pie wagon coming down the aisle looking at the empty seat next to me. It ticks me off that I'm forced to spend even more uncomfortable hours in a sardine can with someone else taking up part of my space just because they can't take better care of themselves.

Ok, end of insensitive rant. Here's the deal. I think our obesity problem is largely due to our transportation system. I travel to D.C. a lot, and I always notice how there are very few overweight people riding the Metro, same thing in Europe. People who commute by rail are usually walking at least 1 mile a day.

Conservatives often decry many liberal causes as "social engineering", but construction of our highway system, that has led to suburban sprawl and automobile dependant transportation, is/was social engineering, in my view. It radically altered the course of our society.

Change our transportation system and we can radically alter the course of obesity (not to mention improving our energy and pollution situations).


Partner bill


Jul 23, 2005, 9:08 PM
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Ok, end of insensitive rant. Here's the deal. I think our obesity problem is largely due to our transportation system. I travel to D.C. a lot, and I always notice how there are very few overweight people riding the Metro, same thing in Europe. People who commute by rail are usually walking at least 1 mile a day.

Conservatives often decry many liberal causes as "social engineering", but construction of our highway system, that has led to suburban sprawl and automobile dependant transportation, is/was social engineering, in my view. It radically altered the course of our society.

Change our transportation system and we can radically alter the course of obesity (not to mention improving our energy and pollution situations).

I really don't think you can blame the obesity problem on our transportation system. Wide spread suburbanization has been with us since just after World War II, and the obesity propblem has really only emerged in the last 10-15 years. If your hypothesis were true, why would the obesity epidemic pass over generations who grew up in the suburbs of the 50's, 60's, 70's, and 80's ? Europe's obesity rates have also been steadily increasing as well, despite their extensive public transportation networks. Here is an article that details the European situation.

In reply to:
Obesity situation in Europe worsens
By Elitsa Vucheva
Mar 15, 2005, 17:18


EUOBSERVER / BRUSSELS - The number of overweight schoolchildren in Europe is rising at an alarming rate, adding to an already critical obesity problem, according to figures released on Tuesday (15 March) by the International Obesity Task Force (IOTF).

The survey shows that the number of overweight schoolchildren is rising by 400,000 per year, joining the already 14 million overweight people in the EU.

The EU's health commissioner, Markos Kyprianou, has described the situation as "an obesity epidemic".

Launching the 'EU Platform on Diet, Physical Activity and Health' in Brussels, the Commissioner warned that "the situation keeps getting worse".

Although the number of obese people in Europe has been rising for many years, the rate of increase amongst children is especially alarming - with Poland and the UK seeing the sharpest increases.

Levels in the UK are now approaching the levels seen in the US.

Amongst adults in Europe, obesity rates range from 10 -27 percent in men and up to 38 percent in women. The corresponding figures in the US stand at 28 percent for men and 34 percent in women.

But some countries - Finland, Germany, Greece, Cyprus, the Czech Republic, Slovakia and Malta - have already surpassed the overweight rates in the US.


bobd1953


Jul 23, 2005, 10:34 PM
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I agree with Bill on this one. The average American weight 20-25 lbs more than they did back in the 1960s.

I grew up in a very blue collar area of Philadelphia. Kids played outside, we ate three square meals a day and we spend most of our free time outside playing sports or whatever. We walk to school and back and on the weekends couldn't wait to spend time outside with our friends roaming the streets and playgrounds.

Nowdays you can barely pull a kid away from his X-Box or PC, at least their thumbs and other digits are in shape.


thorne
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Jul 25, 2005, 12:13 PM
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You are about the only one on this site who takes what you say with a grain of salt anyway.

The phrase "with a grain of salt" means with a degree of skepticism. What's your point? That everyone else takes what I say as the gospel truth?

You're so insightful. :roll:


thorne
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Jul 27, 2005, 7:50 PM
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The unemployment rate is the lowest since September 11, 2001, we have seen 25 consecutive months of job gains, and 15 straight quarters of positive GDP growth. Federal tax revenues are growing and the budget deficit is shrinking

Woohoo :D


reno


Jul 28, 2005, 3:03 AM
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Reno, I don't think we are very far apart on this issue.

Neither do I, which is what makes the debate and discussion all that much better.

BTW, missed ya this weekend at Tres Piedras. My arrival was a bit of an epic, but the climbing was fun with a capital F.

In reply to:
I want to clarify a term though. We've been talking about care, and how everyone gets it when they need it. Well to me there's a huge difference between treatment and health care. Treatment is what everyone can get today, after the fact. Health care, to me, means regular checkups and preventative care, as well as treatment. I think the biggest problem with our system is that many people, the poorest people, receive only treatment. We can realize tremendous financial and social benefits if we can change this one factor.

And I continue to assert that the onus for obtaining preventative healthcare is that of the individual only. I can't force anyone to go get a regular checkup. Oh, if I could, how my work would change (I might have to find honest employment then.) There is a big push these days for people to go and get preventative care, checkups, regular screening, etc. and STAY THE HELL OUT OF THE HOSPITAL!

Sadly, though, people don't do this. And while I can, to many degrees, "force" medical care upon someone during an emergency, I cannot do so otherwise. Ergo, my connundrum.

In reply to:
Conservatives often decry many liberal causes as "social engineering", but construction of our highway system, that has led to suburban sprawl and automobile dependant transportation, is/was social engineering, in my view. It radically altered the course of our society.

Change our transportation system and we can radically alter the course of obesity (not to mention improving our energy and pollution situations).

And Liberals often decry Conservatives for positing that people take care of themselves whenever possible. I still fail to see how that's so wrong.

But I'm nearsighted (20/280 both eyes, -6 astigmatism) so that might be it.

Next time, come climb with me when I'm in Santa Fe.


bobd1953


Jul 28, 2005, 5:11 PM
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BTW, missed ya this weekend at Tres Piedras. My arrival was a bit of an epic, but the climbing was fun with a capital F.

Peter-as you know there are two major highways leading out of Santa Fe. Reno took the wrong one. :lol:


thorne
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Jul 28, 2005, 5:45 PM
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Let me guess.

He took the one on the right.


reno


Jul 28, 2005, 7:20 PM
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Let me guess.

He took the one on the right.

Actually, um, er.... uh..... well, what had happened was.... I mean... Uh, that is....

Aw, shit. No, I turned.... (aw, geez, this hurts...) I turned left.

Whew.


thorne
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Jul 28, 2005, 7:22 PM
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At least you learned from your mistake.


thorne
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Aug 1, 2005, 8:25 PM
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Pedro said "This is an EASY problem to solve. "

Okay smart guy, let's hear it. How about some realistic and practical solutions.

I'm still waiting. :lol: :lol: :lol: :lol: :lol: :lol:


hugepedro


Aug 1, 2005, 11:08 PM
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Pedro said "This is an EASY problem to solve. "

Okay smart guy, let's hear it. How about some realistic and practical solutions.

I'm still waiting. :lol: :lol: :lol: :lol: :lol: :lol:

I find it incredible that ANYBODY needs this spelled out for them, but ok . . .

We know the situation:

Our health care costs, in many cases, are twice as much as other countries that are delivering better care to their populations. So it’s easy to see that we have a tremendous margin of error within which to work.

We know the major, root causes of the situation:

1) Lack of coverage (and preventative care) for the entire population.
2) We deliver treatment to everyone, but in the most costly manner possible – often in emergency rooms, and after diseases have progressed to the point where more complex and costly treatments are required.
3) The supply/demand balance between medical facilities and staff (supply) and patients (demand) is a bit out of kilter.
4) Failure to use our market power to negotiate favorable pricing.

There are more problems, but if we just address the above issues we can have better care at lower cost – easily.

And there are certainly lots of possible solutions, and lots of smart people who have ideas for solutions, and lots of other countries we can look to for benchmarks. Yes, this problem is easy, and I’ll just give you a few of the easy answers, off the top of my head.

We can dramatically change the economics of health care if we just:

1) Make preventative care available to children and the rest of the 40 million uninsured.
2) Lower the cost of supply.
3) Balance the supply/demand ratio.

We can accomplish the above by doing the following:

1) Construct preventative care clinics, free to any child, pregnant mother, or anyone on unemployment (I’m sure we could think of several more qualifying conditions that would be beneficial to include as well). Those who participate in preventative care over a period of time receive increasing insurance coverage for other types of care.
2) Offer to pay the tuition costs of health care professionals in exchange for service in these clinics – 4 years of college for 4 years of service.
3) Set standards for government-paid, basic insurance policies for those who work but do not receive health benefits. These policies will emphasize preventative care as a requirement for continued coverage, they will have a co-pay system for reasonable and customary treatments with the amount of the co-pay determined by the degree of participation of the patient in preventative care, and they will provide catastrophic coverage.
4) Negotiate favorable pricing for all government funded services, whether prescription drugs or basic insurance policies.


The above alone would ensure that all citizens have care, raise the quality of care, and reduce the cost.

I’m sure if you put your mind to it you could come up with some ideas of your own.


reno


Aug 1, 2005, 11:11 PM
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I find it incredible that ANYBODY needs this spelled out for them, but ok . . .
.
.
.

The above alone would ensure that all citizens have care, raise the quality of care, and reduce the cost.

Here's the big question: How do we implement all these changes, legally, within the free market economy, and do so without raising taxes through the roof?


hugepedro


Aug 1, 2005, 11:21 PM
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I find it incredible that ANYBODY needs this spelled out for them, but ok . . .
.
.
.

The above alone would ensure that all citizens have care, raise the quality of care, and reduce the cost.

Here's the big question: How do we implement all these changes, legally, within the free market economy, and do so without raising taxes through the roof?

Explain how any of the above is illegal.

This is a hybrid solution that takes advantage of the things the market does best and the things government does best.

Raising taxes? This solution will reduce costs, why would we have to raise taxes?


reno


Aug 1, 2005, 11:27 PM
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In reply to:
I find it incredible that ANYBODY needs this spelled out for them, but ok . . .
.
.
.

The above alone would ensure that all citizens have care, raise the quality of care, and reduce the cost.

Here's the big question: How do we implement all these changes, legally, within the free market economy, and do so without raising taxes through the roof?

This is a hybrid solution that takes advantage of the things the market does best and the things government does best.

The only thing that big governement does well is take money and waste it.

In reply to:
Raising taxes? This solution will reduce costs, why would we have to raise taxes?

It's gonna take a LOT of infrastructure building. That costs money. LOTS of money.

Money we don't have.


curt


Aug 2, 2005, 12:48 AM
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Raising taxes? This solution will reduce costs, why would we have to raise taxes?

It's gonna take a LOT of infrastructure building. That costs money. LOTS of money.

Money we don't have.

Perhaps if weren't senselessly burning $300-$400 Billion in Iraq, we would have the money. That's the "neo-Republican" cop-out for everything these days--we don't have the money. Sure we don't, because they made sure we don't--by squandering it unwisely elsewhere.

Curt


reno


Aug 2, 2005, 12:56 AM
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Curt:

Got a secret for ya... we ain't EVER had that kind of surplus money. Not pre-Regan, not during Clinton, not during FDR.... not ever.

To totally revamp the infrastructure of the US healthcare system would cost TRILLIONS.

Trillions.

So tell me, Mr. Liberal, where do we get the money? We could quit Iraq tomorrow, get back the 300 billion, and double it every year for 10 years and STILL not have enough money.

So, what's the answer, oh wise and sagacious one? Or are you just blowing smoke again?


Partner one900johnnyk


Aug 2, 2005, 1:35 AM
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Raising taxes? This solution will reduce costs, why would we have to raise taxes?

It's gonna take a LOT of infrastructure building. That costs money. LOTS of money.

Money we don't have.

Perhaps if weren't senselessly burning $300-$400 Billion in Iraq, we would have the money. That's the "neo-Republican" cop-out for everything these days--we don't have the money. Sure we don't, because they made sure we don't--by squandering it unwisely elsewhere.

Curt
to change the topic a little bit.. if democracy takes hold in the middle east, would you consider it money squandered? i'm not talking about the reason we supposedly started this mess, but just about the possible outcomes, fortuitous or not. while it's a long way off i gotta say, in my lifetime, i can't remember better relations b/w israel and the palestinians. lebanon having legislative elctions. the judges union demands supervision authority over egypts elections. many egyptians are publically and viciously protesting against mubarak ... the people seem to really want change. syria's ready to enact more liberal political party formation rules and granting citizenship to its kurdish citizens... i'm just saying in the event bush gets lucky and democracy takes hold in the middle east, would you consider that 'worth' the money??? like, twenty years down the line say. wouldn't that severely limit the influence of the madrassas? (among many other things but that just to start!)


curt


Aug 2, 2005, 1:39 AM
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Curt:

Got a secret for ya... we ain't EVER had that kind of surplus money. Not pre-Regan, not during Clinton, not during FDR.... not ever.

How ever much money we had pre-Iraq, we will now have $300 - $400 Billion less, that is simply a fact.

In reply to:
To totally revamp the infrastructure of the US healthcare system would cost TRILLIONS.

Please provide some credible basis for this number. Thanks.

In reply to:
So tell me, Mr. Liberal, where do we get the money? We could quit Iraq tomorrow, get back the 300 billion, and double it every year for 10 years and STILL not have enough money.

Mr. Liberal? I've probably been a Republican for longer than you have been alive. Also, no one, Democrat or Republican believes that we can just "quit Iraq tomorrow." How do you just make this stuff up? In any event, much of the $$$ have already been spent. By the way, taking $300 billion, and doubling it "every year for ten years" would give us a bit over $300 quadrillion. Why don't you think that would be enough to get the job done? Haha--I'm guessing you weren't a math major.

In reply to:
So, what's the answer, oh wise and sagacious one? Or are you just blowing smoke again?

As others have said before, we don't even have to invent anything to implement a solution. It has already been done in most major industrialized countries. A better quality of healthcare--at far lower cost. I would suggest we study the three or four best systems out there and then adopt one.

Curt


reno


Aug 2, 2005, 2:05 AM
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Please provide some credible basis for this number. Thanks.

You don't know much about healthcare finance, do you?

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Mr. Liberal? I've probably been a Republican for longer than you have been alive.

Doubtful.

In reply to:
By the way, taking $300 billion, and doubling it "every year for ten years" would give us a bit over $300 quadrillion. Why don't you think that would be enough to get the job done? Haha--I'm guessing you weren't a math major.

Poor wording on my part: 300 billion a year for 10 years. 3 Trillion.

Still not enough.

In reply to:
It has already been done in most major industrialized countries. A better quality of healthcare--at far lower cost. I would suggest we study the three or four best systems out there and then adopt one.

Such as? A European national system, like the French?


curt


Aug 2, 2005, 2:19 AM
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Please provide some credible basis for this number. Thanks.

You don't know much about healthcare finance, do you?

Having founded a US stock exchange and done technology based investment banking for a number of years, I have some understanding of finance. What are your credentials, in that respect? I hardly think working in the industry as a paramedic makes you any kind of expert in healthcare finance matters.

In reply to:
In reply to:
Mr. Liberal? I've probably been a Republican for longer than you have been alive.

Doubtful.

I've been a Republican since working on Nixon's 1968 campaign. What do I win?

In reply to:
In reply to:
By the way, taking $300 billion, and doubling it "every year for ten years" would give us a bit over $300 quadrillion. Why don't you think that would be enough to get the job done? Haha--I'm guessing you weren't a math major.

Poor wording on my part: 300 billion a year for 10 years. 3 Trillion.

Hardly your only example of hitting "enter" before thinking about what you typed.

In reply to:
In reply to:
It has already been done in most major industrialized countries. A better quality of healthcare--at far lower cost. I would suggest we study the three or four best systems out there and then adopt one.

Such as? A European national system, like the French?

The three or four best--I don't know which, at this point. I'm merely saying that the US should have the capacity to implement a healthcare system in this country that has already proven itself to work well elsewhere. If we can't, that doesn't speak too highly of us as Americans.

Curt


reno


Aug 2, 2005, 2:53 AM
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Having founded a US stock exchange and done technology based investment banking for a number of years, I have some understanding of finance.

That hardly qualifies you to speak intelligently about healthcare, Curt.

In reply to:
What are your credentials, in that respect? I hardly think working in the industry as a paramedic makes you any kind of expert in healthcare finance matters.

Having worked for healthcare systems of all designs, from a "free" county tax funded hospital to private hospitals, municipal EMS operations and private medical transport services, including the Medicare, Medicaid, private insurance, and general billing as well as accounting departments, bond initiatives, and new operation financing, I think I have some understanding of healthcare finances. What healthcare systems have you worked in, Curt?

In reply to:
I've been a Republican since working on Nixon's 1968 campaign. What do I win?

Nothing. So you got me by a couple months. Doesn't change that what you've posted on this subject is far liberal in it's leanings.

In reply to:
In reply to:
Such as? A European national system, like the French?

The three or four best--I don't know which, at this point.

Exactly. You don't know.


curt


Aug 2, 2005, 3:24 AM
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Having founded a US stock exchange and done technology based investment banking for a number of years, I have some understanding of finance.

That hardly qualifies you to speak intelligently about healthcare, Curt.

The subject is finance, not healthcare. Please notice that healthcare is the adjective modifying the noun finance. I have been involved in financing all kinds of industries, reno--have you? By the way, If you have additional misunderstandings about proper English sentence structure, I can help you with those as well.

In reply to:
In reply to:
What are your credentials, in that respect? I hardly think working in the industry as a paramedic makes you any kind of expert in healthcare finance matters.

Having worked for healthcare systems of all designs, from a "free" county tax funded hospital to private hospitals, municipal EMS operations and private medical transport services, including the Medicare, Medicaid, private insurance, and general billing as well as accounting departments, bond initiatives, and new operation financing, I think I have some understanding of healthcare finances. What healthcare systems have you worked in, Curt?

As a paramedic? What high-level financial positions did you hold for those institutions, exactly? CFO perhaps? So you were some low-level grunt in multiple healthcare environments. So what? Again, you have no clue about what is involved in financing any kind of venture.

In reply to:
In reply to:
I've been a Republican since working on Nixon's 1968 campaign. What do I win?

Nothing. So you got me by a couple months. Doesn't change that what you've posted on this subject is far liberal in it's leanings.

It only means that my original statement (to which you replied "doubtful") about my being a Republican longer than you have been alive is true. Again, I was right and you were wrong. Damn, I bet you hate facts--they sure get in the way of your BS campaigns.

In reply to:
In reply to:
In reply to:
Such as? A European national system, like the French?

The three or four best--I don't know which, at this point.

Exactly. You don't know.

Precisely why I said we ought to study the existing models before doing anything rash. That would be smart; somewhat akin to you doing your homework before shooting your mouth off.

Curt


reno


Aug 2, 2005, 3:32 AM
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As a paramedic? What high-level financial positions did you hold for those institutions, exactly? CFO perhaps? So you were some low-level grunt in multiple healthcare environments. So what? Again, you have no clue about what is involved in financing any kind of venture.

Your error, Curt, is assuming I'm "only" a paramedic and nothing more.

In reply to:
In reply to:
I've been a Republican since working on Nixon's 1968 campaign. What do I win?

Nothing. So you got me by a couple months. Doesn't change that what you've posted on this subject is far liberal in it's leanings.

It only means that my original statement (to which you replied "doubtful") about my being a Republican longer than you have been alive is true. Again, I was right and you were wrong. Damn, I bet you hate facts--they sure get in the way of your BS campaigns.[

Did you read the part where I wrote "doubtful"? Or did you read "doubtful" and instead see "Not a chance"?

In reply to:
Precisely why I said we ought to study the existing models before doing anything rash. That would be smart; somewhat akin to you doing your homework before shooting your mouth off.

And yet again, I ask you the question: What do you know about healthcare? You're obviously the world's foremost expert on finance, according to you, but do you know anything about medical care, the hands-on provision of, and the needs associated with? No?

Let's take one of your vaunted national systems...a modern, industrialized, world power nation with a national system that allowed 10,000 people to die from heat... THIS SUMMER. While their system was taxed to it's limits (as much as you can within such a system that works 35 hours a week, 44 weeks a year,) they had lines for elderly people to get into air conditioned assisted living facilities. There's much, much more to this story... this is just the tip.

And yet you approve of such a system, as it is ranked among the top 5 in the world.

Brilliant. Just brilliant.

Suggestion, Curt: Stick to stock markets and stay away from healthcare.


curt


Aug 2, 2005, 3:40 AM
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As a paramedic? What high-level financial positions did you hold for those institutions, exactly? CFO perhaps? So you were some low-level grunt in multiple healthcare environments. So what? Again, you have no clue about what is involved in financing any kind of venture.

Your error, Curt, is assuming I'm "only" a paramedic and nothing more.

I asked you what high-level financial positions you held in these institutions. Additionally, I asked if you were basically a paramedic at these facilities. I also notice that you have failed to answer these questions.

Curt


curt


Aug 2, 2005, 3:44 AM
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Precisely why I said we ought to study the existing models before doing anything rash. That would be smart; somewhat akin to you doing your homework before shooting your mouth off.

And yet again, I ask you the question: What do you know about healthcare? You're obviously the world's foremost expert on finance, according to you, but do you know anything about medical care, the hands-on provision of, and the needs associated with? No?

What I know is that other countries can provide better healthcare at a lower cost. What I believe is that Americans have the ability do at least as well.

Curt


reno


Aug 2, 2005, 4:04 AM
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I asked you what high-level financial positions you held in these institutions. Additionally, I asked if you were basically a paramedic at these facilities. I also notice that you have failed to answer these questions.

*sigh*

1) Before you did this, you assumed that I had no experience in anything other than being a medic. You also insulted me, belittled me, and took a stance of arrogant posturing.

2) I never titled myself as having a "high level position." What I said was that I have experience working with healthcare finance, which you, according to your own statements, do not.

3) And I asked you what your experience was in healthcare, which you have failed to address.

Quid pro quo, guy... when was the last time you held someone's life... actual life... in your hands? Not just "financial life" or "monetary life."

When, Curt? When was the last time you worked in clinical medicine and saw the repercussions of the decisions made by well meaning CFOs who never have to work in the conditions they create?

When?


curt


Aug 2, 2005, 4:24 AM
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In reply to:
I asked you what high-level financial positions you held in these institutions. Additionally, I asked if you were basically a paramedic at these facilities. I also notice that you have failed to answer these questions.

*sigh*

1) Before you did this, you assumed that I had no experience in anything other than being a medic. You also insulted me, belittled me, and took a stance of arrogant posturing.

2) I never titled myself as having a "high level position." What I said was that I have experience working with healthcare finance, which you, according to your own statements, do not.

3) And I asked you what your experience was in healthcare, which you have failed to address.

Quid pro quo, guy... when was the last time you held someone's life... actual life... in your hands? Not just "financial life" or "monetary life."

When, Curt? When was the last time you worked in clinical medicine and saw the repercussions of the decisions made by well meaning CFOs who never have to work in the conditions they create?

When?

If I'm not mistaken (and I'm not) we first got off on this tangent when you claimed that it would take "TRILLIONS" of dollars to create the infrastructure necessary to reform our healthcare system--without providing a shred of substantiation for that number. You then demonstrated that you couldn't tell the difference between a calculation leading to a $300 quadrillion figure and one resulting in a $3 trillion number. Your current arguments are no more sound. The mere fact that you have applied more bandaids than I have (which seems to constitute your healthcare experience) is not, in any way, germane to this discussion of healthcare finance.

Curt


reno


Aug 2, 2005, 5:11 AM
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If I'm not mistaken (and I'm not) we first got off on this tangent when you claimed that it would take "TRILLIONS" of dollars to create the infrastructure necessary to reform our healthcare system--without providing a shred of substantiation for that number. You then demonstrated that you couldn't tell the difference between a calculation leading to a $300 quadrillion figure and one resulting in a $3 trillion number. Your current arguments are no more sound. The mere fact that you have applied more bandaids than I have (which seems to constitute your healthcare experience) is not, in any way, germane to this discussion of healthcare finance.

More insults, Curt? Try to stay on target...

The cost of healthcare administration alone... yes, just the admin part... reached some $290 billion/year (NEJM.) That whole system will need restructured if we switch.

The cost of healthcare liability has risen upwards of 24% per year for the past two decades, and now reaches some $500 billion. That will have to be restructured, costing more money. (CBO)

Student loans that will be defaulted when doctors and nurses can no longer make enough money to pay them back total some $1.2 trillion. (GAO.)

That's just shy of 2 trillion, and I haven't even begun to talk about new infrastructure, medications, supplies, wages, benefits...

Now, then, Curt.... you were just about to tell us when the last time you actually provided hands-on clinical care to a medical patient.

?


curt


Aug 2, 2005, 5:18 AM
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If I'm not mistaken (and I'm not) we first got off on this tangent when you claimed that it would take "TRILLIONS" of dollars to create the infrastructure necessary to reform our healthcare system--without providing a shred of substantiation for that number. You then demonstrated that you couldn't tell the difference between a calculation leading to a $300 quadrillion figure and one resulting in a $3 trillion number. Your current arguments are no more sound. The mere fact that you have applied more bandaids than I have (which seems to constitute your healthcare experience) is not, in any way, germane to this discussion of healthcare finance.

More insults, Curt? Try to stay on target...

The cost of healthcare administration alone... yes, just the admin part... reached some $290 billion/year (NEJM.) That whole system will need restructured if we switch.

The cost of healthcare liability has risen upwards of 24% per year for the past two decades, and now reaches some $500 billion. That will have to be restructured, costing more money. (CBO)

Student loans that will be defaulted when doctors and nurses can no longer make enough money to pay them back total some $1.2 trillion. (GAO.)

That's just shy of 2 trillion, and I haven't even begun to talk about new infrastructure, medications, supplies, wages, benefits...

You are unwittingly making my arguments for me. All of these figures point unquestionably to the conclusion that our healthcare system sucks and needs to be revamped in a major way. Keep it up, and I'll be able to stop posting here altogether.

Curt


reno


Aug 2, 2005, 5:35 AM
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You are unwittingly making my arguments for me. All of these figures point unquestionably to the conclusion that our healthcare system sucks and needs to be revamped in a major way. Keep it up, and I'll be able to stop posting here altogether.

Uh huh. Been taking lessons on debate from Bob, have ya?

Translation: "I asked for facts, he gave them to me, and now I have to dodge the question and divert the discussion, in the hopes that nobody notices I've been outed as knowing nothing about healthcare."

And if I keep this up, you promise to quit posting here altogether? In that case, I've just begun.

Still waiting for you to answer the question, too.


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Aug 2, 2005, 5:44 AM
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If I'm not mistaken (and I'm not) we first got off on this tangent when you claimed that it would take "TRILLIONS" of dollars to create the infrastructure necessary to reform our healthcare system--without providing a shred of substantiation for that number. You then demonstrated that you couldn't tell the difference between a calculation leading to a $300 quadrillion figure and one resulting in a $3 trillion number. Your current arguments are no more sound. The mere fact that you have applied more bandaids than I have (which seems to constitute your healthcare experience) is not, in any way, germane to this discussion of healthcare finance.

More insults, Curt? Try to stay on target...

The cost of healthcare administration alone... yes, just the admin part... reached some $290 billion/year (NEJM.) That whole system will need restructured if we switch.

The cost of healthcare liability has risen upwards of 24% per year for the past two decades, and now reaches some $500 billion. That will have to be restructured, costing more money. (CBO)

Student loans that will be defaulted when doctors and nurses can no longer make enough money to pay them back total some $1.2 trillion. (GAO.)

That's just shy of 2 trillion, and I haven't even begun to talk about new infrastructure, medications, supplies, wages, benefits...

Now, then, Curt.... you were just about to tell us when the last time you actually provided hands-on clinical care to a medical patient.

?

So what you're saying is that it'll cost trillions of dollars to fix a system that is already costing trillions of dollars to run? Sounds like money well spent to me.

If my car's annual running costs were anywhere near what it would cost to replace it, I'd be getting a new car...


curt


Aug 2, 2005, 6:13 AM
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You are unwittingly making my arguments for me. All of these figures point unquestionably to the conclusion that our healthcare system sucks and needs to be revamped in a major way. Keep it up, and I'll be able to stop posting here altogether.

Uh huh. Been taking lessons on debate from Bob, have ya?

Translation: "I asked for facts, he gave them to me, and now I have to dodge the question and divert the discussion, in the hopes that nobody notices I've been outed as knowing nothing about healthcare."

And if I keep this up, you promise to quit posting here altogether? In that case, I've just begun.

Still waiting for you to answer the question, too.

What question? If I have ever applied a bandaid? The answer is yes. So, you and I have equal hands-on healthcare experience, more or less--so what? What in the world does that have to do with this discussion?

Curt


reno


Aug 2, 2005, 7:32 AM
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What question? If I have ever applied a bandaid? The answer is yes. So, you and I have equal hands-on healthcare experience, more or less--so what? What in the world does that have to do with this discussion?

And yet AGAIN you insult without answering the question.

Comparing what I do in my medical profession to putting on a band-aid would be like comparing what you do in finance to balancing a checkbook.

So I've balanced a checkbook.... does that mean I get to play Mister Finance and open a stock exchange now?

:roll:

Lastly, if you think you and I have equal experience in healthcare, I'll put this out wager out there:

You and me, live with no reference material to consult, 20 short asnwer questions on general medical knowledge for $500, and I'll spot you two.

Want the bet? If so, name the time and place. Hell, I'll even buy the drinks. If not, then STFU.


thorne
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I find it incredible that ANYBODY needs this spelled out for them, but ok . . .

We know the situation:

Our health care costs, in many cases, are twice as much as other countries that are delivering better care to their populations. So it’s easy to see that we have a tremendous margin of error within which to work.

We know the major, root causes of the situation:

1) Lack of coverage (and preventative care) for the entire population.
2) We deliver treatment to everyone, but in the most costly manner possible – often in emergency rooms, and after diseases have progressed to the point where more complex and costly treatments are required.
3) The supply/demand balance between medical facilities and staff (supply) and patients (demand) is a bit out of kilter.
4) Failure to use our market power to negotiate favorable pricing.

There are more problems, but if we just address the above issues we can have better care at lower cost – easily.

Yes, this problem is easy, and I’ll just give you a few of the easy answers, off the top of my head.

We can dramatically change the economics of health care if we just:

1) Make preventative care available to children and the rest of the 40 million uninsured.
2) Lower the cost of supply.
3) Balance the supply/demand ratio.

We can accomplish the above by doing the following:

1) Construct preventative care clinics, free to any child, pregnant mother, or anyone on unemployment (I’m sure we could think of several more qualifying conditions that would be beneficial to include as well). Those who participate in preventative care over a period of time receive increasing insurance coverage for other types of care.
This will cost money.
2) Offer to pay the tuition costs of health care professionals in exchange for service in these clinics – 4 years of college for 4 years of service.
This will cost money.
3) Set standards for government-paid, basic insurance policies for those who work but do not receive health benefits. These policies will emphasize preventative care as a requirement for continued coverage, they will have a co-pay system for reasonable and customary treatments with the amount of the co-pay determined by the degree of participation of the patient in preventative care, and they will provide catastrophic coverage.
This will cost money.
4) Negotiate favorable pricing for all government funded services, whether prescription drugs or basic insurance policies.
Should we use the stellar performances of Medicaid and Medicare as guidelines? Have either of these programs ever ended a year where actual costs were in line with projected costs?

The above alone would ensure that all citizens have care, raise the quality of care, and reduce the cost.


In this thread, my primary concern about universal healthcare in the US is cost. Our government is probably the most inefficient, expensive provider of health care in the industrialized world.

Three of the four ideas you offered will require additional money from the government.

And your fourth idea? See my signature.

So, Mr. "I find it incredible that ANYBODY needs this spelled out for them",

How do you see increasing costs as a way to cut costs?


thorne
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Curt,

First off, let me salute you for the spectacular job you've done at repeated kicking Reno in the nuts, while offering no practical solutions to the problem.

Second, do you have any actual recommendations for improving this situation, other than "do what those guys are doing."?

This is a serious problem that ain't gettin' better on its own. Change is needed. IMO, our goverment needs to demonstrate the ability to provide healthcare (for those it currently cares for) in a cost effective manner before we put every American on this public pony.

I'm sincerely interested in hearing practical solutions for controlling our rising healthcare costs.

BTW If you want to reduce drug costs, R&D will dry up.


bobd1953


Aug 2, 2005, 4:14 PM
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Reno admits the system is broke and cost are out of hand but want no change, Curt say the system is broke, cost are out of hand and need to be fixed/changed.

Who would you vote for??


thorne
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Reno admits the system is broke and cost are out of hand but want no change, Curt say the system is broke, cost are out of hand and need to be fixed/changed.

Who would you vote for??

Did Reno say that? Seems like he's saying the solutions offered so far are impractical. Of course, I wouldn't expect you to get the distinction. :wink:


bobd1953


Aug 2, 2005, 4:44 PM
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Did Reno say that? Seems like he's saying the solutions offered so far are impractical. Of course, I wouldn't expect you to get the distinction.

Yes he did say that. He did not offer one solution in his postings. He offered a number of reasons why the system is in deep shit and not working but again, offered no solutions.

Try harder next time...

Based on the what was said between Curt and Reno...who would you vote for?


thorne
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Aug 2, 2005, 4:58 PM
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Did Reno say that? Seems like he's saying the solutions offered so far are impractical. Of course, I wouldn't expect you to get the distinction.

Yes he did say that. He did not offer one solution in his postings. He offered a number of reasons why the system is in deep s--- and not working but again, offered no solutions.

Try harder next time...

By not offering solution, he's saying not change is needed???

Nice bit of critical thinking, Bob.

In reply to:
Based on the what was said between Curt and Reno...who would you vote for?

Vote for what?


curt


Aug 2, 2005, 5:01 PM
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Curt,

.......do you have any actual recommendations for improving this situation, other than "do what those guys are doing."?

That's because "do what those guys are doing" is the right answer. Other major industrial countries have managed to provide their citizens with:

1) Better healthcare than ours in the US, based on a number of metrics.
2) Lower cost healthcare than ours in the US.
3) Universal healthcare coverage for their citizens, unlike in the US.

Why in the world wouldn't you want to emulate a system that we know works? That's really the beauty of the solution--we don't have to invent or create any new technologies to implement a healthcare soultion in this country that we know serves its citizens quite well. All we have to do is copy what is already being done elsewhere.

I reject the idea that we aren't smart enough in the US to be able to copy (with a few modifications perhaps) what some other country is already doing successfully.

Curt


bobd1953


Aug 2, 2005, 5:02 PM
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The only thing that big governement does well is take money and waste it.


It's gonna take a LOT of infrastructure building. That costs money. LOTS of money.

Money we don't have.

Some of Reno's solutions.

Thorne...I see why you agree with Reno. :lol:


reno


Aug 2, 2005, 5:04 PM
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Reno admits the system is broke and cost are out of hand but want no change, Curt say the system is broke, cost are out of hand and need to be fixed/changed.

Who would you vote for??

Bob:

Buddy, you're just the master at over-simplification, aren't you?

I have never.... not ever... NEVER ONCE said that I don't want to improve the system.

What I have said, repeatedly, is that I do not believe in a single-payer national healthcare system the way that you and Curt seem to.

That's the real issue, and one that you assiduously ignore.

But since we're making the decision simple, let's put it like this:

Curt and Reno both agree that the system is broke. Curt wants to implement a system where a federal government bureaucrat makes your healthcare decisions for you (see: Schiavo) and Reno wants to leave your healthcare decisions between you and your doctor.

Which one would you vote for?


thorne
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Aug 2, 2005, 5:06 PM
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The only thing that big governement does well is take money and waste it.


It's gonna take a LOT of infrastructure building. That costs money. LOTS of money.

Money we don't have.

Some of Reno's solutions.

Thorne...I see why you agree with Reno. :lol:

What's your point? :roll:


curt


Aug 2, 2005, 5:10 PM
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Hey reno and thorne,

Having beaten the healthcare horse to a bloody pulp, how about another topic?

If our economy is really in such great shape right now, why is it increasingly true that the average American worker can no longer afford an average house in the area where they live and work? What do you think this says about our economy? Are you OK with this trend?

Curt


Partner taualum23


Aug 2, 2005, 5:15 PM
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Are you OK with this trend?

Curt

They have homes.

Next question?


thorne
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Curt,

I agree that we should look at other countries' systems to approach this problem. However, just saying do what they did seems entirely too simplistic. It might not be that hard if we didn't have to entrust our pork-driven Congress to make such changes. Especially since they have to contend with the AMA lobbyists, pharmacutical lobbyists, insurance companies and all the other groups adversely affected by a major overhaul. Your solution might work in a dictatorship, but not in our lobbying intensive form of democracy.


thorne
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Having beaten the healthcare horse to a bloody pulp, how about another topic?

How about some practical, implementable solutions? I don't think "do what they" fits the criteria.


curt


Aug 2, 2005, 5:20 PM
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....But since we're making the decision simple, let's put it like this:

Curt and Reno both agree that the system is broke. Curt wants to implement a system where a federal government bureaucrat makes your healthcare decisions for you (see: Schiavo) and Reno wants to leave your healthcare decisions between you and your doctor.

Which one would you vote for?

A "bureaucrat" no more makes the healthcare decisions for patients in Britain or in Canada--than some profit motivated "bureaucrat" (with a substantial conflict of interest) at a HMO or insurance company makes those decisions for patients here in the US. That's not what friends of mine in the UK or Canada tell me. So, I would say that is a gross mischaracterization of fact.

I do know that those other countries provide better healthcare for their citizens than we do--for less money.

Curt


curt


Aug 2, 2005, 5:33 PM
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Curt,

I agree that we should look at other countries' systems to approach this problem. However, just saying do what they did seems entirely too simplistic. It might not be that hard if we didn't have to entrust our pork-driven Congress to make such changes. Especially since they have to contend with the AMA lobbyists, pharmacutical lobbyists, insurance companies and all the other groups adversely affected by a major overhaul. Your solution might work in a dictatorship, but not in our lobbying intensive form of democracy.

I think you have hit the nail right on the head. It would require dramatic changes to our healthcare system to implement meaningful reform. Those changes would indeed be fought tooth and nail by many powerful and well-heeled interest groups. But, the first step is recognizing correctly what needs to be done. Only after that has been done can we try to figure out how to do it. Perhaps sweeping changes to the system are impossible; I would like to think not. My fear is that anything less than a dramatic change to the system will result in basically no improvement at all.

Curt


reno


Aug 2, 2005, 5:34 PM
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If our economy is really in such great shape right now, why is it increasingly true that the average American worker can no longer afford an average house in the area where they live and work? What do you think this says about our economy? Are you OK with this trend?

I think it's an example of how a free market economy works.... people have an item, others want it, the supply and demand concept takes hold, and prices increase.

I think that a free market economy is vastly superior to a number of other economic market concepts.

I think that housing in Phoenix is outrageous and I wish I had the money to buy one, but it's also a classic example of this concept writ large... I know a guy who won the lottery for a new housing subdivision, and the first guy to get passed up offered my buddy $75K to NOT close on his house. That's right... 75 grand to NOT buy a house.

I think I prefer this concept of a free market economy over, say, the government buying all the houses and dolling them out to everyone equally. Socialism has been tried, and it didn't work.

What do YOU think, Curt?


curt


Aug 2, 2005, 5:44 PM
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In reply to:
If our economy is really in such great shape right now, why is it increasingly true that the average American worker can no longer afford an average house in the area where they live and work? What do you think this says about our economy? Are you OK with this trend?

I think it's an example of how a free market economy works.... people have an item, others want it, the supply and demand concept takes hold, and prices increase.

I think that a free market economy is vastly superior to a number of other economic market concepts.

I think that housing in Phoenix is outrageous and I wish I had the money to buy one, but it's also a classic example of this concept writ large... I know a guy who won the lottery for a new housing subdivision, and the first guy to get passed up offered my buddy $75K to NOT close on his house. That's right... 75 grand to NOT buy a house.

I think I prefer this concept of a free market economy over, say, the government buying all the houses and dolling them out to everyone equally. Socialism has been tried, and it didn't work.

What do YOU think, Curt?

Well, I agree with you that the government has no role to play in this aspect of the economy. I think it is too bad, however, that you can't buy a house here if you want to. My take on this trend is that speculators and investors are artificially inflating home prices in many markets (like the Phoenix area, for example) and that is pricing the average home buyer who is seeking a primary residence (like you) out of the market. I think this is a shame, but a natural consequence of low interest rates and lack of alternative investment options having decent performance.

Curt


bobd1953


Aug 2, 2005, 6:05 PM
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By not offering solution, he's saying not change is needed???

Nice bit of critical thinking, Bob.

No...what he is saying is he has no idea how to change the system. Only complain about it and accept the current way of doing things.

Just like you. :lol:


bobd1953


Aug 2, 2005, 6:18 PM
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Curt...the average cost of a home in Denver, CO is $254,000. The median household income is (per year) $46,558. Do the math.

I don't know people do it.


thorne
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By not offering solution, he's saying not change is needed???

Nice bit of critical thinking, Bob.

No...what he is saying is he has no idea how to change the system. Only complain about it and accept the current way of doing things.

Just like you. :lol:

You do like to infer quite a bit more than a reasonable person, much of which is completely bogus.

Lacking a sufficient mental capacity to face people head on, some people resort to such petty tactics, to cover up these deficiencies. :wink:


thorne
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Curt...the average cost of a home in Denver, CO is $254,000. The median household income is (per year) $46,558. Do the math.

$200,000 @ 5%, 30 yr. = 1073/mo or 12,876/yr.

What's your point?

In reply to:
I don't know people do it.

What?


Partner macherry


Aug 2, 2005, 6:37 PM
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Curt...the average cost of a home in Denver, CO is $254,000. The median household income is (per year) $46,558. Do the math.

I don't know people do it.

they're not. A lot of folks get suckered into getting mortgages where you pay off the "interest only", speculating that they will turn the house over and make a profit. If interest rates start to increase, or the market goes soft there's a lot of people SOL!!!!


bobd1953


Aug 2, 2005, 6:39 PM
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bobd1953 wrote:
Curt...the average cost of a home in Denver, CO is $254,000. The median household income is (per year) $46,558. Do the math.


$200,000 @ 5%, 30 yr. = 1073/mo or 12,876/yr.

What's your point?

Quote:
I don't know people do it.


What?

Should read: I don't know how people do it. Maybe even you could of figure that one out.

Most people don't put 25-per-cent down.

What is your point?


bobd1953


Aug 2, 2005, 6:41 PM
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Lacking a sufficient mental capacity to face people head on, some people resort to such petty tactics, to cover up these deficiencies.

Glad to see that you finally looked in mirror! :wink:


curt


Aug 2, 2005, 6:42 PM
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Curt...the average cost of a home in Denver, CO is $254,000. The median household income is (per year) $46,558. Do the math.

$200,000 @ 5%, 30 yr. = 1073/mo or 12,876/yr.

What's your point?

That's principle and interest, of course and doesn't include the tax and insurance (if any) in the payment. It also assumes that an average person making $46k per year, has a $54,000 down payment stashed away someplace. With national savings rates in this country at abysmally low levels, that's pretty unlikely--especially for a first time home buyer.

Curt


bobd1953


Aug 2, 2005, 6:46 PM
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$200,000 @ 5%, 30 yr. = 1073/mo or 12,876/yr.

What's your point?

Throw in the cost of healthcare, food, gas, childcare, clothes and so on...

I still don't know how some people do it!


thorne
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Aug 2, 2005, 6:47 PM
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bobd1953 wrote:
Curt...the average cost of a home in Denver, CO is $254,000. The median household income is (per year) $46,558. Do the math.


$200,000 @ 5%, 30 yr. = 1073/mo or 12,876/yr.

What's your point?

Quote:
I don't know people do it.


What?

Should read: I don't know how people do it. Maybe even you could of figure that one out.

Most people don't put 25-per-cent down.

What is your point?

Should read? So much of what you post makes no fucking sense. I didn't see why this was any different.

Where's you get 25 per-cent? More Bob finance?


thorne
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Aug 2, 2005, 6:52 PM
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Lacking a sufficient mental capacity to face people head on, some people resort to such petty tactics, to cover up these deficiencies.

Glad to see that you finally looked in mirror! :wink:

How third grade.... and par for you. :roll:

The amount of nonsense you post is mindboggling. Your ability to make innane leaps of logic and then act like you've proven your case is remarkable. If you ever stay on topic in one of these political threads it will truly be a miracle.


bobd1953


Aug 2, 2005, 6:53 PM
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Should read? So much of what you post makes no fucking sense. I didn't see why this was any different.

Where's you get 25 per-cent? More Bob finance?

You really are a dip-shit!

What is 25-per-cent of $200.000?


thorne
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Curt...the average cost of a home in Denver, CO is $254,000. The median household income is (per year) $46,558. Do the math.

How about the median cost and the average income?


thorne
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Should read? So much of what you post makes no f---ing sense. I didn't see why this was any different.

Where's you get 25 per-cent? More Bob finance?

You really are a dip-s---!

What is 25-per-cent of $200.000?

Oh, come now, Bob. I'm sure you're capable of such simple math.


bobd1953


Aug 2, 2005, 7:07 PM
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Should read? So much of what you post makes no fucking sense. I didn't see why this was any different.

Where's you get 25 per-cent? More Bob finance?

You posted $200.000! The buyer would have to put at least 25-per-cent down (50,000). Pretty simple!


thorne
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Aug 2, 2005, 7:13 PM
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Should read? So much of what you post makes no f---ing sense. I didn't see why this was any different.

Where's you get 25 per-cent? More Bob finance?

You posted $200.000! The buyer would have to put at least 25-per-cent down (50,000). Pretty simple!

What does this have to do with the average cost of $254,000 you cited?

$50,000 is less than 20% of $254,000. :roll:


thorne
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Aug 2, 2005, 7:22 PM
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Curt...the average cost of a home in Denver, CO is $254,000. The median household income is (per year) $46,558. Do the math.

How about the median cost and the average income?

At http://money.cnn.com/...snapshots/25119.html
I found the median income and median home cost. Seems to make sense to apply the same vehicle for finding a mid-point.

The median income was the same as Bob posted - $46,558.

The median cost of a home was $216,337, a whopping $37,000 less than Bob's average cost. :roll: No doubt $216,337 is high, but let's use the same standard when comparing these two issues.


Bob,

If you're don't know the difference between median prices and average prices, just let me know. I'll be happy to spell it out for you.


hugepedro


Aug 3, 2005, 8:25 PM
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So, Mr. "I find it incredible that ANYBODY needs this spelled out for them",

How do you see increasing costs as a way to cut costs?

Wow, I thought I made it simple enough for anybody to understand. Let me try again.

We know that our performance is so abysmal that there is plenty of money to be saved. If we know what some of the root causes of the high costs are, and we change the conditions that are causing the high costs, then we will no longer have those high costs.

Which is what I said when I wrote this:

In reply to:
We know the situation:

Our health care costs, in many cases, are twice as much as other countries that are delivering better care to their populations. So it’s easy to see that we have a tremendous margin of error within which to work.

We know the major, root causes of the situation:

1) Lack of coverage (and preventative care) for the entire population.
2) We deliver treatment to everyone, but in the most costly manner possible – often in emergency rooms, and after diseases have progressed to the point where more complex and costly treatments are required.
3) The supply/demand balance between medical facilities and staff (supply) and patients (demand) is a bit out of kilter.
4) Failure to use our market power to negotiate favorable pricing.

There are more problems, but if we just address the above issues we can have better care at lower cost – easily.

Our improvements will pay for themselves. And as Curt has said multiple times, we know this, beyond a shadow of a doubt, because we have multiple examples to look to for proof.


thorne
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Aug 3, 2005, 8:36 PM
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We know that our performance is so abysmal that there is plenty of money to be saved. If we know what some of the root causes of the high costs are, and we change the conditions that are causing the high costs, then we will no longer have those high costs.

Please see my signature. :wink:

The big question is what can be done to reduce these costs?

Your solution seems to be about increasing costs (through giving everyone coverage), promoting preventative care and negotiating prices.

Seems like a bandaid on a cut artery.


thorne
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Aug 3, 2005, 8:38 PM
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double post


hugepedro


Aug 3, 2005, 9:08 PM
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We know that our performance is so abysmal that there is plenty of money to be saved. If we know what some of the root causes of the high costs are, and we change the conditions that are causing the high costs, then we will no longer have those high costs.

Please see my signature. :wink:

The big question is what can be done to reduce these costs?

Your solution seems to be about increasing costs (through giving everyone coverage), promoting preventative care and negotiating prices.

Seems like a bandaid on a cut artery.

I told you how the costs will be reduced. I'll say it yet simpler:

IF WE REMOVE THE FACTORS THAT ARE CAUSING THE HIGH COSTS, THE COSTS WILL BE REDUCED!

Clear enough?

This ain't rocket science, ain't even Tiddly Winks - what part don't you understand?

As for your signature, I, and Curt, have already spelled out multiple times why this is a sure bet. If you find fault in our logic, point it out please.

Thank goodness the rest of us Americans are capable of making reasonable decisions, because by your standard, no corporation would ever innovate and our economy would be non-existent. In the business world we make FAR riskier decisions based on FAR less information, and we are usually right and successful. This one is a no brainer.


bobd1953


Aug 3, 2005, 10:00 PM
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No doubt $216,337 is high, but let's use the same standard when comparing these two issues

What year was that from? Ask your buddy Reno what you can buy for $216,000 in Denver. Look at average price per-s-foot.

The real numbers:
SINGLE FAMILY DETACHED HOMES...

18,841 FOR SALE: Average/Median LIST Price-$382,200/$260,000 ($25,000-$22,000,000)
24,012 SOLD: Average/Median SALES Price-$306,900/$245,000 ($19,900-$8,000,000)
Average Days on Market: 84; Average Price/SF: $170


CONDOS/TOWNHOMES...

7,962 FOR SALE: Average/Median LIST Price-$198,500/$155,000 ($29,500-$3,400,000)
6,634 SOLD: Average/Median SALES Price-$190,700/$159,900 ($25,911-$2,000,000)
Average Days on Market: 110; Average Price/SF: $160
(Source: Denver Metrolist, 08/01/2005)


thorne
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Aug 3, 2005, 10:06 PM
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Pedro,

You offer up simple general or theoretic solutions that may work. Given the political and legal climate in this country, I don't see how we get from where we are now to a system on par with the Brits.

Your common retort of "I've already proven this beyond a doubt" is really starting to wear pretty thin. It's a bullshit presumption.

You can attack my intellectual capabilities all you want. It's a bogus assertion. While a number of people on this site may disagree with my political and philosophical leanings, as well as my sometimes crass behavior, I don't think you'll find too many who support your implication about my intelligence.

Nice try. :wink:


bobd1953


Aug 3, 2005, 10:11 PM
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You offer up simple general or theoretic solutions that may work. Given the political and legal climate in this country, I don't see how we get from where we are now to a system on par with the Brits.

An you offer up simple general or theoretic non-solutions that may not work.


thorne
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Aug 3, 2005, 10:14 PM
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No doubt $216,337 is high, but let's use the same standard when comparing these two issues

What year was that from? Ask your buddy Reno what you can buy for $216,000 in Denver. Look at average price per-s-foot.

The real numbers:
SINGLE FAMILY DETACHED HOMES...

24,012 SOLD: Median SALES Price-$245,000

CONDOS/TOWNHOMES...

6,634 SOLD: Median SALES Price-$159,900

With a median for single family detached of $245,000

and Median for condos of-$159,900

Your price of $254,000 is obviously toooooo high.

My source is from 2005. Anyone checking the link (anyone with half a brain) would know this.


bobd1953


Aug 3, 2005, 10:30 PM
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Your prices of $200,000 and $216,000 are obviously toooooo low.

Bumblie wrote: My source is from 2005. Anyone checking the link (anyone with half a brain) would know this.

Post your link!


thorne
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Aug 4, 2005, 11:39 AM
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You offer up simple general or theoretic solutions that may work. Given the political and legal climate in this country, I don't see how we get from where we are now to a system on par with the Brits.

An you offer up simple general or theoretic non-solutions that may not work.

What's your point? That change is good, regardless of whether it's an improvement or not? Nice line of reasoning.


thorne
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Aug 4, 2005, 12:15 PM
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Your prices of $200,000 and $216,000 are obviously toooooo low.

The $200,000 figure you keep thinking is a home price was a mortgage amount. It was an "off the cuff" estimate of 80 percent of the $254K price you posted.

The price of $216,000 is from a CNN website for Denver living costs in 2005! Anyway, why is it "obviously toooooo low"? It is $29K below the median price for detached homes you posted, but it's $57K above the median price for condos.

In reply to:
Bumblie wrote: My source is from 2005. Anyone checking the link (anyone with half a brain) would know this.

Post your link!

I did. Try and keep up, Stanley.

There have been times that I thought you were just trolling me. Now I'm convinced that you are just as "smart" as you seem.

It is amazing to watch a grown man consistently show a complete inability to grasp the simplest of facts.


bobd1953


Aug 4, 2005, 3:07 PM
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It is amazing to watch a grown man consistently show a complete inability to grasp the simplest of facts.


The simplest of facts is that you take all this shit so serious! That you believe that all this banner means something and that you are impressing all your little cyber-friends with the shit you spew out.

You are being trolled and you are easy.

You are also a weasel who in real life could not fight his way out of a wet-paper-bag. :lol:


thorne
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Aug 4, 2005, 3:26 PM
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It is amazing to watch a grown man consistently show a complete inability to grasp the simplest of facts.


The simplest of facts is that you take all this s--- so serious! That you believe that all this banner means something and that you are impressing all your little cyber-friends with the s--- you spew out.

You are being trolled and you are easy.

You are also a weasel who in real life could not fight his way out of a wet-paper-bag. :lol:

WOW :shock: You really zinged me there. Ouch!

Resorting to the "I'm trolling" excuse. We both know the real deal. :wink:

Stay out of the deep end if you can't swim. :lol:


bobd1953


Aug 4, 2005, 3:38 PM
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Resorting to the "I'm trolling" excuse. We both know the real deal.

Stay out of the deep end if you can't swim.


The real deal is with over 5,000 post you do take this crap serious and it a big part of your boring life!

As to your second sentence. Is that why you don't climb anyone? Cant't hang? :lol:


thorne
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Aug 4, 2005, 3:52 PM
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The real deal is with over 5,000 post you do take this crap serious and it a big part of your boring life!

Do I sense hostility? For a troll, you seem kinda pissed. :evil:

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Is that why you don't climb anyone? Cant't hang? :lol:

WTF are you talking about? Are you saying climbers are precluded from making non-climbing analogies?

Talk about easy. LOL


hugepedro


Aug 4, 2005, 4:50 PM
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You offer up simple general or theoretic solutions that may work.

Funny, I thought I gave you very specific solutions. In fact, way more specific than one has to go in order to show that this problem is easy to solve. Please, tell me what is not specific about this:

In reply to:
We can dramatically change the economics of health care if we just:

1) Make preventative care available to children and the rest of the 40 million uninsured.
2) Lower the cost of supply.
3) Balance the supply/demand ratio.

We can accomplish the above by doing the following:

1) Construct preventative care clinics, free to any child, pregnant mother, or anyone on unemployment (I’m sure we could think of several more qualifying conditions that would be beneficial to include as well). Those who participate in preventative care over a period of time receive increasing insurance coverage for other types of care.
2) Offer to pay the tuition costs of health care professionals in exchange for service in these clinics – 4 years of college for 4 years of service.
3) Set standards for government-paid, basic insurance policies for those who work but do not receive health benefits. These policies will emphasize preventative care as a requirement for continued coverage, they will have a co-pay system for reasonable and customary treatments with the amount of the co-pay determined by the degree of participation of the patient in preventative care, and they will provide catastrophic coverage.
4) Negotiate favorable pricing for all government funded services, whether prescription drugs or basic insurance policies.


In reply to:
Given the political and legal climate in this country, I don't see how we get from where we are now to a system on par with the Brits.

Sorry, I can do nothing about your defeatist attitude. Me, I happen to think that with a little good old American can-do spirit we can be at least as good as the Europeans.

In reply to:
Your common retort of "I've already proven this beyond a doubt" is really starting to wear pretty thin. It's a bullshit presumption.

Hahahaha! Calling something a bullshit presumption doesn’t prove your case. You need to offer facts or logic that reveal holes in my argument.

In reply to:
You can attack my intellectual capabilities all you want. It's a bogus assertion. While a number of people on this site may disagree with my political and philosophical leanings, as well as my sometimes crass behavior, I don't think you'll find too many who support your implication about my intelligence.

Nice try. :wink:

All I know is that I had to say the same thing 3 times over with ever increasing simplicity before you apparently “got it”. Sorry if I insulted you, but I get frustrated when people have problems with reading comprehension, I hate having to repeat myself.


thorne
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Aug 4, 2005, 5:29 PM
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Given the political and legal climate in this country, I don't see how we get from where we are now to a system on par with the Brits.

Sorry, I can do nothing about your defeatist attitude. Me, I happen to think that with a little good old American can-do spirit we can be at least as good as the Europeans.

I do love how you throw those little barbs out like "defeatist attitude" and align yourself with "a little good old American can-do spirit". My "defeatist" attitude is based on our countries track record with public healthcare. IT SUCKS!!! And about that "American can-do spirit, I think most people align that with Free Market Capitalism. That's not exactly what your proposing, now is it?

As far as your solution goes (as impossible as I think it would be to get the people in DC behind it), you're saying spending additional money for new facilities, uninsured people and the training of more nurses and technicians this will dramatically cut costs. :shock:

And you said "negotiate favorable pricing for all government funded services, whether prescription drugs or basic insurance policies". Are we talking about forcing companies to provide goods and services at 1/2 the current levels? IMO it's not a good fiscal policy. Will costs be dramatically reduced by putting contracts out for bid?

If this is your solution, I just don't get it. As I said before - bandaid on an artery.

In reply to:
In reply to:
You can attack my intellectual capabilities all you want. It's a bogus assertion.

All I know is that I had to say the same thing 3 times over with ever increasing simplicity before you apparently “got it”. Sorry if I insulted you, but I get frustrated when people have problems with reading comprehension, I hate having to repeat myself.

Sure thing Pedro. A while back you kept asserting that you had "already proven that the government mandated raising wages had no adverse effects on local economies". I must have asked you five or six times to show your "proof". When you finally did, you had a boatload of people calling bullshit, without a single person agreeing with you. Sometimes, I think you are alone in your opinion that you've clearly proven a point. Hmm.


hugepedro


Aug 4, 2005, 7:02 PM
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I do love how you throw those little barbs out like "defeatist attitude" and align yourself with "a little good old American can-do spirit". My "defeatist" attitude is based on our countries track record with public healthcare. IT SUCKS!!!

Like I said, defeatist attitude. Prove otherwise by saying something other than "we can't fix this".

In reply to:
As far as your solution goes (as impossible as I think it would be to get the people in DC behind it), you're saying spending additional money for new facilities, uninsured people and the training of more nurses and technicians this will dramatically cut costs. :shock:

*sigh* YES! For the 4th time now, when you remove the factors that are causing the high costs, the costs will be lowered. Perhaps I need to dumb it down even more for you - here you go:

NO MORE HIGH COSTS = LOWER COSTS

Get it?

In reply to:
And you said "negotiate favorable pricing for all government funded services, whether prescription drugs or basic insurance policies". Are we talking about forcing companies to provide goods and services at 1/2 the current levels? IMO it's not a good fiscal policy. Will costs be dramatically reduced by putting contracts out for bid?

If this is your solution, I just don't get it. As I said before - bandaid on an artery.

Are you saying you don’t understand the difference between “negotiating” and “forcing”? Every other modern country in the world negotiates pricing on health products and services, it’s ONE of the reasons they can deliver at lower cost than we can. I also listed other root causes of our high costs, and gave solutions that eliminate them, pricing is only part of the picture, perhaps you missed that.

In reply to:
Sure thing Pedro. A while back you kept asserting that you had "already proven that the government mandated raising wages had no adverse effects on local economies". I must have asked you five or six times to show your "proof". When you finally did, you had a boatload of people calling s---, without a single person agreeing with you. Sometimes, I think you are alone in your opinion that you've clearly proven a point. Hmm.

Ha ha! So you actually think that because I happened to be debating against a half dozen conservatives, and they disagreed with me, that proved me wrong? And I was the only one in that thread who provided actual data that backed up my position, wasn’t I? Nice try, but I’m sorry to inform you that after your failure to poke holes in my argument with either facts or logic, you have also failed at trying to cast me as delusional. And that you actually tried to do so exposes your own weaknesses in both your argument and your debating competence.


thorne
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Aug 4, 2005, 7:21 PM
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I do love how you throw those little barbs out like "defeatist attitude" and align yourself with "a little good old American can-do spirit". My "defeatist" attitude is based on our countries track record with public healthcare. IT SUCKS!!!

Like I said, defeatist attitude. Prove otherwise by saying something other than "we can't fix this".

You seem to be overlooking the fact that our history of providing public healthcare sucks. Give me an example of publicly funded health care in the US that wasn't a giant sucking money hole.

In reply to:
In reply to:
As far as your solution goes (as impossible as I think it would be to get the people in DC behind it), you're saying spending additional money for new facilities, uninsured people and the training of more nurses and technicians this will dramatically cut costs. :shock:

*sigh* YES! For the 4th time now, when you remove the factors that are causing the high costs, the costs will be lowered. Perhaps I need to dumb it down even more for you - here you go:

NO MORE HIGH COSTS = LOWER COSTS

Get it?

I get what your saying, but aside from negotiating prices all you talked about is INCREASING COSTS.

In reply to:
In reply to:
Sure thing Pedro. A while back you kept asserting that you had "already proven that the government mandated raising wages had no adverse effects on local economies". I must have asked you five or six times to show your "proof". When you finally did, you had a boatload of people calling s---, without a single person agreeing with you. Sometimes, I think you are alone in your opinion that you've clearly proven a point. Hmm.

Ha ha! So you actually think that because I happened to be debating against a half dozen conservatives, and they disagreed with me, that proved me wrong?

The fact that no one supported your position speaks for itself. :wink:


hugepedro


Aug 4, 2005, 10:38 PM
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Like I said, defeatist attitude. Prove otherwise by saying something other than "we can't fix this".

You seem to be overlooking the fact that our history of providing public healthcare sucks. Give me an example of publicly funded health care in the US that wasn't a giant sucking money hole.

DUDE!?!? Our health care system is ALREADY a giant sucking money hole, my solutions address this very issue. The whole point of this is that we can do MORE for LESS.

And no, I'm not overlooking that "fact". My solutions can be implemented in phases, with stepped performance targets, and they aren't an overarching socialist system, they are targeted solutions that address specific areas of concern - they would be quite cost efficient even if they didn't pay for themselves through reduced costs.

Again, no solution. Defeatist. And your challenge is laughable. The Medicare and Medicaid programs have done the job they are tasked with quite successfully. And the only reason the Prescription Drug Benefit is so costly is because your guys, the Republicans, turned it into corporate welfare.

In reply to:
I get what your saying, but aside from negotiating prices all you talked about is INCREASING COSTS.

No, you still apparently are having problems with reading comprehension. So for the 5th time . . .

ALL of these 4 root causes I list below contribute to higher costs. In fact, items 1 through 3, not pricing, are the primary causes of the high costs.

In reply to:

We know the major, root causes of the situation:

1) Lack of coverage (and preventative care) for the entire population.
2) We deliver treatment to everyone, but in the most costly manner possible – often in emergency rooms, and after diseases have progressed to the point where more complex and costly treatments are required.
3) The supply/demand balance between medical facilities and staff (supply) and patients (demand) is a bit out of kilter.
4) Failure to use our market power to negotiate favorable pricing.

ALL of the solutions I offered eliminate these root causes, thereby reducing costs, NOT JUST THE PRICE NEGOTIATION ONE.

In reply to:

We can dramatically change the economics of health care if we just:

1) Make preventative care available to children and the rest of the 40 million uninsured.
2) Lower the cost of supply.
3) Balance the supply/demand ratio.

We can accomplish the above by doing the following:

1) Construct preventative care clinics, free to any child, pregnant mother, or anyone on unemployment (I’m sure we could think of several more qualifying conditions that would be beneficial to include as well). Those who participate in preventative care over a period of time receive increasing insurance coverage for other types of care.
2) Offer to pay the tuition costs of health care professionals in exchange for service in these clinics – 4 years of college for 4 years of service.
3) Set standards for government-paid, basic insurance policies for those who work but do not receive health benefits. These policies will emphasize preventative care as a requirement for continued coverage, they will have a co-pay system for reasonable and customary treatments with the amount of the co-pay determined by the degree of participation of the patient in preventative care, and they will provide catastrophic coverage.
4) Negotiate favorable pricing for all government funded services, whether prescription drugs or basic insurance policies.

The above alone would ensure that all citizens have care, raise the quality of care, and reduce the cost.

Do you understand now?


In reply to:
The fact that no one supported your position speaks for itself. :wink:

Um, ok. That you think so only speaks to your own confirmatory bias. I often follow threads where others are making fine arguments that I agree with, and I never feel the need to chime in to support them. The fact that nobody chimed in with me can be attributed to any of 4 possibilities. 1, the thread was boring and nobody outside of the participants was watching (highly likely); 2, everyone on my side thought I was kicking ass just fine by myself (also highly likely since, as I pointed out, I was the only one offering factual data in support of my position); 3, nobody else was as familiar with the modern understanding of labor economics, and therefore had nothing to offer; or 4, I was wrong. You, of course, chose option 4, in spite of the fact that you are “Mr. Show-Me-A-Link-Or-Give-Me-Some-Data”, which I was the ONLY ONE TO DO. So what does that say about your integrity? It says you believe what you want to believe, and you will discard even your own standards if an idea or fact doesn’t fit within your view of the world.


bobd1953


Aug 4, 2005, 11:07 PM
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The fact that no one supported your position speaks for itself. Wink

Curt stated a need for change. I have stated a need for change.


reno


Aug 5, 2005, 12:51 AM
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In reply to:
We can dramatically change the economics of health care if we just:

1) Make preventative care available to children and the rest of the 40 million uninsured.
2) Lower the cost of supply.
3) Balance the supply/demand ratio.

We can accomplish the above by doing the following:

1) Construct preventative care clinics, free to any child, pregnant mother, or anyone on unemployment (I’m sure we could think of several more qualifying conditions that would be beneficial to include as well). Those who participate in preventative care over a period of time receive increasing insurance coverage for other types of care.

We have that now. It's known as Medicaid. Additionally, most, if not all (I'd have to double check,) states and municipalities offer "safety net" hospitals, clinics, etc. In Atlanta, it's Grady Health System, funded by the Fulton-DeKalb Hospital Authority. In Denver, it's the Denver Health and Hospital Authority. In Phoenix, it's the Maricopa Medical Center Health System.

Other examples aboud.

In reply to:
2) Offer to pay the tuition costs of health care professionals in exchange for service in these clinics – 4 years of college for 4 years of service.

We do that now. Many medical school students are under agreement with the federal government to work for a period of time in a poor or impoverished area (Native American reservations, rural deep south, Dust Belt, etc.)

In reply to:
3) Set standards for government-paid, basic insurance policies for those who work but do not receive health benefits. These policies will emphasize preventative care as a requirement for continued coverage, they will have a co-pay system for reasonable and customary treatments with the amount of the co-pay determined by the degree of participation of the patient in preventative care, and they will provide catastrophic coverage.

This has some potential, but it's fraught with loopholes for fraud. Fraud is a bad thing, wouldn't you agree?

In reply to:
4) Negotiate favorable pricing for all government funded services, whether prescription drugs or basic insurance policies.

We do that now. The HCFA sets limits on what they will pay, and the providing entity (hospital, doctor, ambulance, etc.) is prohibited by law from trying to bill the patient for the rest. MediCare patient John Doe is sick, gets $25,000 of healthcare, and MediCare decides post hoc to pay only 15,000. Guess who has to bite the bullet on the remaining 10 K?


blondgecko
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Aug 5, 2005, 1:47 AM
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What we have here is a typical case of the engineer making a case to management.

Engineer: For just a $70,000 one-off cost, I can implement a system that'll save $20,000 a year in running costs!

Management hears: I want to spend $70,000 of your money, which will reduce apparent profits (budget surplus) for this year, look bad with the shareholders (voters), and possibly harm my chances of getting in for another term as manager (President).

The choice is obvious, right?

:roll:


thorne
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The fact that no one supported your position speaks for itself. Wink

Curt stated a need for change. I have stated a need for change.

My statement was about another thread.


thorne
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http://www.newsbatch.com/hc-intpub.gif

Pedro,
Here's a chart I used earlier in this thread.

It clearly shows that (on a per person basis) public health care in this country is twice as costly as private health care. Considering the lion's share of public health care is Medicare/Medicaid, how can you say they are quite successful? From a coverage standpoint I might agree, but we're discussing the fiscal side of the equation. From that standpoint, these programs have consistently run over budget.

A report that came out in March said "The Medicare Trustees Report was issued today and shows that the financial condition of Medicare's hospital fund has improved slightly,... but the report says it will be insolvent by 2020.

When it comes to giant sucking money hole, our public health care wins by a mile.

Since this thread stirred my interest, I did a some online research. I found it interesting that the commonly supported solutions were completely different than you "simple" solution. I also found it interesting that those other solutions seemed to make sense, whereas I just don't get your solution. Yeah, it must be me. :roll:

About the "raising minimum wage has no adverse effects" thread - I love how you spin your way out of the fact that no one (not a single person) saw it your way. You say you were the only one to provide links or facts to support your position. I produced studies that supported my position. Does that makes you a liar?

Blondgecko,
Funny analogy. A more fitting one would be - Spend an additional 3 Trillion dollars and increase the number of patients. As a result, we'll reduce our annual costs. I have no idea how much of a reduction, you'll just have to trust me. :wink:

I'm done.


hugepedro


Aug 5, 2005, 6:39 PM
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Reno,
I’m tired of this thread, so I’m going to be brief. Sorry if my brevity doesn’t fully explain my reasoning.

In reply to:
We have that now. It's known as Medicaid. Additionally, most, if not all (I'd have to double check,) states and municipalities offer "safety net" hospitals, clinics, etc. In Atlanta, it's Grady Health System, funded by the Fulton-DeKalb Hospital Authority. In Denver, it's the Denver Health and Hospital Authority. In Phoenix, it's the Maricopa Medical Center Health System.
No, we don’t. Your ignoring my focus on preventative care, and Medicaid doesn’t cover everyone, and I’m talking about a far simpler delivery mechanism, without the confusing rules and layers of bureaucracy.

In reply to:
We do that now. Many medical school students are under agreement with the federal government to work for a period of time in a poor or impoverished area (Native American reservations, rural deep south, Dust Belt, etc.)
No, this comes nowhere close to my solution. Again, not as focused on preventative care, and not designed to changed the supply/demand balance.

In reply to:
This has some potential, but it's fraught with loopholes for fraud. Fraud is a bad thing, wouldn't you agree?
No more fraught than any other government or private program. Process controls are process controls.

In reply to:
We do that now. The HCFA sets limits on what they will pay, and the providing entity (hospital, doctor, ambulance, etc.) is prohibited by law from trying to bill the patient for the rest. MediCare patient John Doe is sick, gets $25,000 of healthcare, and MediCare decides post hoc to pay only 15,000. Guess who has to bite the bullet on the remaining 10 K?
I’m not talking about limits, I’m talking about negotiated pricing agreements, and we do not have this on a great deal of medical products and services. You only have to look to other countries for a benchmark in this area.


bobd1953


Aug 5, 2005, 6:48 PM
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I'm done.

Now were getting somewhere. :)


bobd1953


Aug 5, 2005, 6:50 PM
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Peter- you in town this weekend? Going up in the Sandias on Sunday. Looking for someone to climb with on Monday.


hugepedro


Aug 5, 2005, 7:10 PM
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It clearly shows that (on a per person basis) public health care in this country is twice as costly as private health care.
No it does not. The only way you could make that claim is if you assume an identical level of care is being given to all individuals. I guarantee it is not. For one thing, just think about the demographics of the participants in public vs. private care – it will be a very different patient base, with very different needs.

In reply to:
Considering the lion's share of public health care is Medicare/Medicaid, how can you say they are quite successful? From a coverage standpoint I might agree, but we're discussing the fiscal side of the equation. From that standpoint, these programs have consistently run over budget.
First of all, I am not just discussing the fiscal side, I’m talking about the entire care/cost picture, and I’m proposing that one of the ways we can improve the cost picture is to change our care model to one that is far less expensive. Second of all, to judge a public health care system solely on whether it meets budget is a very myopic point of view. If you consider the benefit side of Medicare/Medicaid (they provide care to a whole lot of people who otherwise would have none), they are clearly a success, even with cost overruns.

In reply to:
A report that came out in March said "The Medicare Trustees Report was issued today and shows that the financial condition of Medicare's hospital fund has improved slightly,... but the report says it will be insolvent by 2020.
So what? And Social Security will be insolvent, when? Minor tweaking can easily solve both these issues.

In reply to:
Since this thread stirred my interest, I did a some online research. I found it interesting that the commonly supported solutions were completely different than you "simple" solution. I also found it interesting that those other solutions seemed to make sense, whereas I just don't get your solution. Yeah, it must be me. :roll:
So what? I said this problem is easy to solve (because of the tremendous financial margin of error we have to work within), you asked for solutions, I offered some very simple ones, off the top of my head with only 5 minutes of thought. There are lots of potential solutions to this, THAT IS THE POINT! And your inability to comprehend simple logic and common sense doesn’t mean I am wrong, in fact, it probably means something quite different.

In reply to:
About the "raising minimum wage has no adverse effects" thread - I love how you spin your way out of the fact that no one (not a single person) saw it your way. You say you were the only one to provide links or facts to support your position. I produced studies that supported my position. Does that makes you a liar?
Again, the people I was debating against disagreed with me. DUH. What does that prove? Only that anyone who would think it proves anything isn’t the sharpest knife in the drawer.

And no, you produced nothing that countered any of the modern understanding of labor economics, and I continually pointed that fact out to you.


thorne
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Aug 5, 2005, 7:41 PM
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I'm done.
Now were getting somewhere. :)

Buuuuuuurn!!! :oops:


Partner bill


Aug 8, 2005, 4:35 PM
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Interesting article today on the emergence of private healthcare in Canada and the realities of their system.

http://news.yahoo.com/...8/wl_csm/ocanadarx_1


thorne
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Allowing people to buy private health insurance violates fundamental rights, McBane says, because not everyone will be able to afford it.

"You can't discriminate based on the size of your wallet on something as important as healthcare," McBane says. "I would say this is an aberration and the democratic process will correct it."

It's an aberration and a violation of fundamental rights to permit people to pay money for improved healthcare? WTF :shock:


reno


Aug 8, 2005, 7:30 PM
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Getting back on track... some interesting numbers coming from that bastion of Left-leaning Liberalism, the New York Times:

http://graphics8.nytimes.com/...05/business/econ.gif

Overall, not bad. Not perfect, and there is still room for growth, but it's not the gloom and doom we've been told would come.


hugepedro


Aug 9, 2005, 2:34 PM
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Peter- you in town this weekend? Going up in the Sandias on Sunday. Looking for someone to climb with on Monday.

Sorry Bob, I didn't see this post. Next time give me a call.


curt


Aug 9, 2005, 3:33 PM
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Getting back on track... some interesting numbers coming from that bastion of Left-leaning Liberalism, the New York Times:

http://graphics8.nytimes.com/...05/business/econ.gif

Overall, not bad. Not perfect, and there is still room for growth, but it's not the gloom and doom we've been told would come.

Yeah, I bet all those people who had good jobs (that have been moved overseas) are perfectly happy with their current jobs flipping burgers at the golden arches. :roll:

Curt


bobd1953


Aug 9, 2005, 4:01 PM
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Yeah, I bet all those people who had good jobs (that have been moved overseas) are perfectly happy with their current jobs flipping burgers at the golden arches.

Curt

Good point Curt. Most of the new jobs are in the low-paying/no benefits service and retail sector.

There was no growth in personal savings and personal credit card debt when up.

A lot of Americans are living from paycheck to paycheck.


thorne
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Aug 9, 2005, 4:12 PM
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Most of the new jobs are in the low-paying/no benefits service and retail sector.

Is this just more of your dishonest sprayage? Or do you actually have some proof to support your assertion?


thorne
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Aug 9, 2005, 4:21 PM
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Most of the new jobs are in the low-paying/no benefits service and retail sector.

Is this unusual?


bobd1953


Aug 9, 2005, 4:25 PM
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Is this just more of your dishonest sprayage?

Little tense this morning? The wife holding out on you? You need to mellow out.


shakylegs


Aug 9, 2005, 4:27 PM
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Is this unusual?

Wellll....

It's not unusual to be loved by anyone
It's not unusual to have fun with anyone
but when I see you hanging about with anyone
It's not unusual to see me cry,
oh I wanna' die
It's not unusual to go out at any time
but when I see you out and about it's such a crime
if you should ever want to be loved by anyone,
It's not unusual it happens every day no matter what you say
you find it happens all the time
love will never do what you want it to
why can't this crazy love be mine
It's not unusual, to be mad with anyone
It's not unusual, to be sad with anyone
but if I ever find that you've changed at anytime
it's not unusual to find out that I'm in love with you
whoa-oh-oh-oh-oh



Enjoy this playing in your head for the next while.


bobd1953


Aug 9, 2005, 4:27 PM
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Is this unusual?

What a a-hole. Caught your post before you deleted it.


thorne
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Is this unusual?

What a a-hole. Caught your post before you deleted it.

Little tense this morning? The wife holding out on you? You need to mellow out.


thorne
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Aug 9, 2005, 4:32 PM
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Shouldn't that be an a-hole?


bobd1953


Aug 9, 2005, 4:33 PM
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Everything is quite good in Boblandia. Thanks for asking. :lol:


bobd1953


Aug 9, 2005, 4:38 PM
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Shouldn't that be an a-hole?

No, you got my point.


bobd1953


Aug 9, 2005, 8:53 PM
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Thorne-if you need help with the math on this one...I am there for you.

Things look really bright for folks in the Boulder area as the average price of a single home is almost $500,00.

From AP:By Associated Press
August 9, 2005

WASHINGTON — Housing prices are far outstripping salary increases for low- and moderate-income jobs, putting the American dream of owning a home beyond the reach of teachers, firefighters and other community workers in many cities, according a study being released today.

The report, by a coalition advocating affordable housing, found that even cities once considered affordable, such as Tulsa, Okla., are rapidly becoming too pricey for lower-income workers such as janitors and retail sales employees.



The study found the median price of a home in the United States rose 20 percent in just 18 months, to $225,000. During the same period, wages for teachers, firefighters and nurses in most cities remained flat or increased slightly but still fell far short of the annual salary needed to buy a home, the report from the Center for Housing Policy said.

For example, the median household income for a nurse rose 10 percent between 2003 and 2005, to about $36,000. For a firefighter, wages were flat, remaining at about $37,000 a year.

Those salaries don't come close to the $71,000 annual income needed to qualify to purchase a $225,000 home. The number is based on a down payment of 10 percent.

Through June, the median sales price for a used single-family home in Boulder was $497,500, up 10.5 percent from the same point a year ago, according to the Boulder Area Realtor Association.


caughtinside


Aug 9, 2005, 9:00 PM
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Average home price in Boulder is only 500k?

Shit, living in Cali has really ruined my perspective.

I HATE housing prices, it's just another way that the baby boomers are funding their retirements on the backs of the next generation. Bastards.


hangerlessbolt


Aug 9, 2005, 9:03 PM
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Average home price in Boulder is only 500k?

s---, living in Cali has really ruined my perspective.

I HATE housing prices, it's just another way that the baby boomers are funding their retirements on the backs of the next generation. Bastards.

That's the idea...fek the next guy

Million dollar homes are going to become a lot more common...I'm banking on the idea that the one I own will be one of them.


thorne
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Aug 9, 2005, 9:04 PM
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Thorne-if you need help with the math on this one...I am there for you.

Silly man. I'm not the one who consistently has trouble with numbers. If you'd like, I could go back and dig up plenty of posts where you show just how inept you are when it comes to cipherin'. Did Clinton really reduce the federal debt to almost zero? :wink:

As far as these skyrocketing prices are concerned.... wait for the pop. It's right around the corner.


reno


Aug 9, 2005, 10:36 PM
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The study found the median price of a home in the United States rose 20 percent in just 18 months, to $225,000. During the same period, wages for teachers, firefighters and nurses in most cities remained flat or increased slightly but still fell far short of the annual salary needed to buy a home, the report from the Center for Housing Policy said.

Bob, this is not surprising, and I'm not sure why it surprises you. You've been watching people move to the Boulder area for... what? 20 years?... and rising prices are a result of supply and demand. It really does boil down to that simple of a concept: If people are willing to pay it, then other people can charge it.

This rise in housing has absolutely nothing to do with the executive branch, the President, or anything else in D.C. This has to do with people who own land in Boulder, and the people that want that land.


bobd1953


Aug 9, 2005, 11:06 PM
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This rise in housing has absolutely nothing to do with the executive branch, the President, or anything else in D.C. This has to do with people who own land in Boulder, and the people that want that land.

Really! Please explain why lobbyist for home builders hang out in DC.

What you highlighted in your post was housing prices on a national level...not Boulder.


caughtinside


Aug 9, 2005, 11:17 PM
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In reply to:
This rise in housing has absolutely nothing to do with the executive branch, the President, or anything else in D.C. This has to do with people who own land in Boulder, and the people that want that land.

Really! Please explain why lobbyist for home builders hang out in DC.

What you highlighted in your post was housing prices on a national level...not Boulder.

I'm not sure what sort of lobbying those DC builders do, most of the decisions regarding development happens at the local level. Out here, they've been building like crazy, and demand is just now starting to cool off. 20% increase in value per year for 3+ years in a row? Ridiculous!


bobd1953


Aug 9, 2005, 11:25 PM
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Caughtinside: Here a few FYI

Lobby League #18 Government-sponsored enterprises
Each week, The Hill highlights the top lobbyists on a sector-specific basis through conversations with the major players on K Street, congressional staffers and other Washington insiders.

Fannie Mae: Duane Duncan
Despite its troubles, Fannie Mae continues to have one of the most extensive lobbying operations on Capitol Hill. The shop is led by Duncan, former chief of staff to Fannie critic Rep. Richard Baker (R-La.), and has an impressive roster of inside and outside lobbyists. These include Tony Rudy, a former chief of staff to Majority Leader Tom DeLay (R-Texas). It doesn’t hurt that Fannie CEO Franklin Raines served in the Clinton administration as OMB director, either.
RAHIEM


--------------------------------------------------------------------------------


Freddie Mac: Clarke Camper
Freddie’s shop took a hit this spring when top lobbyist Mitchell Delk resigned under allegations of improper fundraising. But like its older sister, Freddie maintains a large in-house shop, led by Camper, a former aide to then-Rep. Charles Schumer (D-N.Y.). Its outside roster is also quite extensive, including Van Scoyoc Associates’ Lendell Porterfield, a former aide to Senate Banking Committee Chairman Richard Shelby (R-Ala.), and Doyle Bartlett of Bartlettt and Bendall.

FM Policy Focus: J.C. Watts, Mike House
Some lobbyists and staffers said FM Policy Focus’s extreme anti-GSE stance limits its influence. But the organization, formed and funded by large banks, keeps the GSEs on their toes. And with former House GOP Conference Chairman J.C. Watts (R-Okla.) as chairman and Executive Director Mike House, a Hogan & Hartson lobbyist and former chief of staff to Alabama Sen. Howell Heflin (D), it’s hard to ignore what FM Policy Focus and its all-star lineup of outside consultants are saying.

America’s Community Bankers: Dan Berger
Working closely with the Mortgage Bankers Association and the Financial Services Roundtable, ACB is part of the group that supports the White House’s plan to create a new regulator for the GSEs. Berger, former chief of staff to Rep. Katherine Harris (R-Fla.), was one of her top advisers throughout her political career, and his name has even surfaced in news reports as a possible replacement for Delk at Freddie Mac.

National Association of Home Builders: Jerry Howard, Joe Stanton
The home builders have been one of Fannie and Freddie’s strongest allies, coming to their defense at almost every step during the last few years. One of D.C.’s largest trade associations (with one of the largest political action committees), the NAHB has active members in every lawmaker’s district. Howard has been with the group since 1988, and Stanton, who joined more recently, made many friends on Capitol Hill as legislative manager for the House doorkeeper and later as a lobbyist for the Beer Institute.

Mortgage Bankers Association: Kurt Pfotenhauer, Erick Gustafson
The mortgage bankers are closely aligned with ACB in this debate — supporters of Fannie and Freddie who think some changes to the way they are regulated need to be made. As MBA’s top lobbyist, Pfotenhauer heads up a shop that includes Gustafson, a former banking aide to Rep. Mark Foley (R-Fla.) and a lobbyist at Citizens for a Sound Economy.

Financial Services Roundtable: Lisa McGreevy, Paul Leonard
McGreevy, the group’s top lobbyist, and Leonard, who heads up housing issues, work closely with ACB and MBA, although the Roundtable’s members’ views fall somewhere in between those groups and FM Policy Focus. McGreevy was an aide in the Reagan White House and the first President Bush’s Treasury Department. Leonard was chief of staff to Rep. Mike Castle (R-Del.).

Federal Home Loan Bank of Atlanta: Eric Mondres
The Federal Home Loan Banks (FHLB) could be included in any legislation coming out of Congress, and Eric Mondres of the Atlanta bank was named by just about every lobbyist and staffer as the most involved of any FHLB lobbyist. Mondres spent almost a decade as a lobbyist with ACB before joining FHLB Atlanta last year.


hangerlessbolt


Aug 9, 2005, 11:27 PM
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20% increase in value per year for 3+ years in a row?

gneiss!!

When I bought my house down in SoCal...I paid 139k in '98...now it goes for over 400k (my ex-wife should be pretty stoked)

The house that I recently purchased was 370k...6 months later...selling for 420k...(got a nice jump in that it's brand new and up on Mt Scott)

On avg this area has seen 16% per year for several years

We'll see where it's at in 9.5 years.


reno


Aug 9, 2005, 11:36 PM
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In reply to:
This rise in housing has absolutely nothing to do with the executive branch, the President, or anything else in D.C. This has to do with people who own land in Boulder, and the people that want that land.

Really! Please explain why lobbyist for home builders hang out in DC.

Same reason that everyone else has a lobbyist in DC, Bob... to look out for their own interests. That hardly equates to the government dictating prices for new homes.

In reply to:
What you highlighted in your post was housing prices on a national level...not Boulder.

What I highlighted in my post above is exactly what you highlighted in YOUR POST. I just quoted you, buddy.


bobd1953


Aug 10, 2005, 12:13 AM
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Same reason that everyone else has a lobbyist in DC, Bob... to look out for their own interests. That hardly equates to the government dictating prices for new homes.

Do you agree that lobbyist run the show in DC.


reno


Aug 10, 2005, 12:21 AM
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Same reason that everyone else has a lobbyist in DC, Bob... to look out for their own interests. That hardly equates to the government dictating prices for new homes.

Do you agree that lobbyist run the show in DC.

Oh, come off it, Bob. If you want to go down that road, then you should be blaming the "poor economy" on the lobbyists, and not President Bush.

Why can' you just acknowledge that not every evil or bad thing in the world is GWBs fault? To listen to you, one would think the weather is shitty because of something a Republican did.

Get over it and move on, pal.


bobd1953


Aug 10, 2005, 12:29 AM
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Oh, come off it, Bob. If you want to go down that road, then you should be blaming the "poor economy" on the lobbyists, and not President Bush.

Why can' you just acknowledge that not every evil or bad thing in the world is GWBs fault? To listen to you, one would think the weather is shitty because of something a Republican did.

Get over it and move on, pal.

Jesus Reno..you are thick. Just anwser my question please.


curt


Aug 10, 2005, 12:31 AM
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....This rise in housing has absolutely nothing to do with the executive branch, the President, or anything else in D.C. This has to do with people who own land in Boulder, and the people that want that land.

So, are you are saying that very low interest rates have nothing to do with the recent demand in housing?

Curt


reno


Aug 10, 2005, 12:37 AM
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Jesus Reno..you are thick. Just anwser my question please.

Pot, Kettle. Ketle, Pot.

No, Bob, I won't answer your question, because you're trying to make a specious argument, and I'm not buying into that.

And besides, you've never answered a direct question, so why should anyone else?


bobd1953


Aug 10, 2005, 1:02 AM
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And besides, you've never answered a direct question, so why should anyone else?


Since you won't anwser my question...would you reply to Curt's question. :lol:


reno


Aug 10, 2005, 1:46 AM
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Sure, Curt/Bob: Low interest rates are the ONLY reason that new housing starts are up. They're the ONLY reason that housing prices are up. They're the ONLY reason for the out of control spiral of real estate. And those interest rates are OBVIOUSLY controlled by the lobbyists. I mean, it couldn't possibly be the Federal Reserve Board that does it.

Nope. That's not possible. Has to be lobbyists.

:roll: :roll: :roll:


bobd1953


Aug 10, 2005, 1:50 AM
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I mean, it couldn't possibly be the Federal Reserve Board that does it.

Where is the Federal Reserve Board located??


curt


Aug 10, 2005, 2:10 AM
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Sure, Curt/Bob: Low interest rates are the ONLY reason that new housing starts are up. They're the ONLY reason that housing prices are up. They're the ONLY reason for the out of control spiral of real estate. And those interest rates are OBVIOUSLY controlled by the lobbyists. I mean, it couldn't possibly be the Federal Reserve Board that does it.
reno,

Obviously it is the Fed that sets interest rates. which means this statement....

In reply to:
....This rise in housing has absolutely nothing to do with the executive branch, the President, or anything else in D.C. This has to do with people who own land in Boulder, and the people that want that land.

....is completely wrong. Sorry pal. :wink:

Curt


reno


Aug 10, 2005, 2:14 AM
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In reply to:
Sure, Curt/Bob: Low interest rates are the ONLY reason that new housing starts are up. They're the ONLY reason that housing prices are up. They're the ONLY reason for the out of control spiral of real estate. And those interest rates are OBVIOUSLY controlled by the lobbyists. I mean, it couldn't possibly be the Federal Reserve Board that does it.
reno,

Obviously it is the Fed that sets interest rates. which means this statement....

In reply to:
....This rise in housing has absolutely nothing to do with the executive branch, the President, or anything else in D.C. This has to do with people who own land in Boulder, and the people that want that land.

....is completely wrong. Sorry pal. :wink:

Then why, Curt, Oh Wise and Sagacious One, did the rise in housing prices start well back when the PIR was 7.0% or better?

It's simple economics, guy. Being as you are the World's Greatest Finance Expert, I kinda figured you knew that.


reno


Aug 10, 2005, 2:15 AM
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I mean, it couldn't possibly be the Federal Reserve Board that does it.

Where is the Federal Reserve Board located??

Did you miss the sarcasm somehow, Bob?


bobd1953


Aug 10, 2005, 2:55 AM
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Did you miss the sarcasm somehow, Bob?
_________________
-- Reno

I miss a lot of things you spew-out. :lol:

I'll say here and now.

The housing boom (soon to be bust) and will lead to a major recession in the next five years.

Housing prices up till about 1996 used to keep pace with inflation. That has all changed.

Housing prices have increase about 15- 20-per-cent per-year since 1997 and have out-paced inflation by leaps and bounds.

Most americans have not seen an 20-per-cent yearly increase in pay.

Do the math.


curt


Aug 10, 2005, 3:00 AM
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In reply to:
In reply to:
In reply to:
Sure, Curt/Bob: Low interest rates are the ONLY reason that new housing starts are up. They're the ONLY reason that housing prices are up. They're the ONLY reason for the out of control spiral of real estate. And those interest rates are OBVIOUSLY controlled by the lobbyists. I mean, it couldn't possibly be the Federal Reserve Board that does it.
reno,

Obviously it is the Fed that sets interest rates. which means this statement....

In reply to:
....This rise in housing has absolutely nothing to do with the executive branch, the President, or anything else in D.C. This has to do with people who own land in Boulder, and the people that want that land.

....is completely wrong. Sorry pal. :wink:

Then why, Curt, Oh Wise and Sagacious One, did the rise in housing prices start well back when the PIR was 7.0% or better?

It's simple economics, guy. Being as you are the World's Greatest Finance Expert, I kinda figured you knew that.

But the real boom in housing prices has occured over just the last few years, when interest rates, as set by the Fed, have been at historically low levels. That, combined with a lack of alternative investment vehicles that perform, caused massive amounts of dollars to flood into the real estate market, artificially inflating prices (i.e. creating a bubble) and making home ownership out of reach for most people--including (by your own admission) yourself.

Curt


Partner bill


Aug 10, 2005, 3:05 AM
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Mortgage rates aren't set by the fed.


bobd1953


Aug 10, 2005, 3:07 AM
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Reno- I'll keep it easy for you.


1. Is the Federal Reserve located in Washington, DC
yes or no

Please choose yes or no. :lol:


curt


Aug 10, 2005, 3:08 AM
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Mortgage rates aren't set by the fed.

All interest rates in this country track the fed funds rate--duh.

Curt


bobd1953


Aug 10, 2005, 3:12 AM
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Mortgage rates aren't set by the fed.

The intrest rates that government lends money...which effect mortgage rates are.


hangerlessbolt


Aug 10, 2005, 3:14 AM
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Someone care to summarize the argument here...
What is it that we're attempting to prove?


Partner bill


Aug 10, 2005, 3:18 AM
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In reply to:
Mortgage rates aren't set by the fed.

All interest rates in this country track the fed funds rate--duh.

Curt

Mortagage rates track the bond markets much more so than fed prime rates. Over the last few years mortgage rates have been stable, and in some cases decreasing, despite the fed aggresively raising short term rates.


curt


Aug 10, 2005, 3:19 AM
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In reply to:
Someone care to summarize the argument here...
What is it that we're attempting to prove?

Summary: Some folks feel the US economy is in fine shape--and others question that assertion.

Curt


bobd1953


Aug 10, 2005, 3:20 AM
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In reply to:
Someone care to summarize the argument here...
What is it that we're attempting to prove?


That most Americans are in deep financial shit.


reno


Aug 10, 2005, 3:28 AM
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In reply to:
In reply to:
Someone care to summarize the argument here...
What is it that we're attempting to prove?


That most Americans are in deep financial s---.

... And that it's all the fault of the government, rather than the people who failed to be smart with their money, right?


hangerlessbolt


Aug 10, 2005, 3:30 AM
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If we're debating "fine economic shape"...we would first need to identify what consitutes "fine economic shape"

...and is this definition the same for everyone?

I would imagine the primary identifier would be "are everyone's most basic needs being met?" . Simple answer is, no.

Not everyone in the U.S. is fed, clothed, and sheltered.

Ok...and...

Now what


curt


Aug 10, 2005, 3:31 AM
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In reply to:
In reply to:
Mortgage rates aren't set by the fed.

All interest rates in this country track the fed funds rate--duh.

Curt

Mortagage rates track the bond markets much more so than fed prime rates. Over the last few years mortgage rates have been stable, and in some cases decreasing, despite the fed aggresively raising short term rates.

Bond rates also follow the fed funds rate, incremented by risk. Also, historically, bond yield curves do not look like they do today. The fact that short-term debt investments yield the same or nearly the same as long term bonds is yet another indicator that our economy is not in good shape.

Curt


hangerlessbolt


Aug 10, 2005, 3:33 AM
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In reply to:
In reply to:
In reply to:
Someone care to summarize the argument here...
What is it that we're attempting to prove?


That most Americans are in deep financial s---.

... And that it's all the fault of the government, rather than the people who failed to be smart with their money, right?

Ah, now that's something completely different...

In deed, who is responsible for the welfare of the nation...the leaders...or the led?


bobd1953


Aug 10, 2005, 3:34 AM
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... And that it's all the fault of the government, rather than the people who failed to be smart with their money, right?


There are many factors that have led to this. Which we have been discussing.

Now will you please answer where the Federal Reserve is located??? :lol:


Partner bill


Aug 10, 2005, 3:47 AM
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Bond rates also follow the fed funds rate, incremented by risk. Also, historically, bond yield curves do not look like they do today. The fact that short-term debt investments yield the same or nearly the same as long term bonds is yet another indicator that our economy is not in good shape.

Curt

That's interesting, but getting back to where we started, 30 year mortgage rates have not been tracking the prime rate for quite some time.


reno


Aug 10, 2005, 3:49 AM
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Now will you please answer where the Federal Reserve is located??? :lol:

Will you please acknowledge that housing prices can and do rise regardless of the actions of the Federal Government?


hangerlessbolt


Aug 10, 2005, 3:51 AM
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This is a very interesting situtation for me...

I came from an incredibly impoverished background...more so than I would be willing to bet anyone else on this site has. (To include having been without a home for a while as a child...and again as a young(er) adult)
Neither of my parents (who divorced when I was three) ever owned too much of anything (car, house, etc). I have 4 half brothers and 4 half sisters. Both of my parents were married 4 times each. My dad died in '82 (I was 9)...My mom died in '88 ( I was 15)...We (my mom, sister, and I) were on welfare and foodstamps for most of my childhood up until she passed away.

Ok, so now here I am...I'm 32. I make over $50k a year (down from nearly $70k a couple of years ago)...I have a college education (no student loans)...I own my second home and a $30k SUV. Some of my income has come from various investments.

So, now what...who do I hold responsible for where I am now...

I appreciate having had the freedom to get to where I am now...but I'm not convinced that everyone has what it takes to do the same for themselves.
I'm even less convinced that everyone would do the right thing for themselves if given assistance. (Prime example is what I witnessed as a welfare recipient...it's quite a circus.)
A lot of folks don't find home ownership or even newer clothes a priority.

Hmmm...an interesting discussion in deed


bobd1953


Aug 10, 2005, 3:53 AM
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Will you please acknowledge that housing prices can and do rise regardless of the actions of the Federal Government?
_________________
-- Reno

You first. :lol:


curt


Aug 10, 2005, 3:58 AM
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In reply to:
Bond rates also follow the fed funds rate, incremented by risk. Also, historically, bond yield curves do not look like they do today. The fact that short-term debt investments yield the same or nearly the same as long term bonds is yet another indicator that our economy is not in good shape.

Curt

That's interesting, but getting back to where we started, 30 year mortgage rates have not been tracking the prime rate for quite some time.

Uh, yes mortgage rates have always tracked the prime rate, at least in general. If you bought a house in 1982, why do you think 12% or 13% was a competitive mortgage rate? The Fed funds rate, prime rate, return on investments (including bonds and savings accounts) were all much higher then. Duh.

Curt


Partner bill


Aug 10, 2005, 4:03 AM
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In reply to:
In reply to:
In reply to:
Bond rates also follow the fed funds rate, incremented by risk. Also, historically, bond yield curves do not look like they do today. The fact that short-term debt investments yield the same or nearly the same as long term bonds is yet another indicator that our economy is not in good shape.

Curt

That's interesting, but getting back to where we started, 30 year mortgage rates have not been tracking the prime rate for quite some time.

Uh, yes mortgage rates have always tracked the prime rate, at least in general. If you bought a house in 1982, why do you think 12% or 13% was a competitive mortgage rate? The Fed funds rate, prime rate, return on investments (including bonds and savings accounts) were all much higher then. Duh.

Curt

They aren't tracking the prime rate currently, and haven't been during the last two to three year housing boom. Isn't this the time period we are focusing on ?


curt


Aug 10, 2005, 4:08 AM
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In reply to:
In reply to:
In reply to:
Bond rates also follow the fed funds rate, incremented by risk. Also, historically, bond yield curves do not look like they do today. The fact that short-term debt investments yield the same or nearly the same as long term bonds is yet another indicator that our economy is not in good shape.

Curt

That's interesting, but getting back to where we started, 30 year mortgage rates have not been tracking the prime rate for quite some time.

Uh, yes mortgage rates have always tracked the prime rate, at least in general. If you bought a house in 1982, why do you think 12% or 13% was a competitive mortgage rate? The Fed funds rate, prime rate, return on investments (including bonds and savings accounts) were all much higher then. Duh.

Curt

They aren't tracking the prime rate currently, and haven't been during the last two to three year housing boom. Isn't this the time period we are focusing on ?

Yes, but it would be a mistake to focus on the present time period exclusively, where the general relationship between the Fed rate and mortgage rates are concerned. What we are seeing now is an anomaly, for the reason I stated previously; that the bond yield curves are out of whack with historical norms.

Curt


bobd1953


Aug 10, 2005, 4:11 AM
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This is a very interesting situtation for me...

Good job on were you are now and how you got there.

I also come from a very blue-collar background. I went to college and have worked hard for everything.

Still-the American dream is becoming less and less available for many Americans.

Good jobs with good benefits, good healthcare and good shelter (house) are becoming less and less a reality for too many Americans.

This is not a good thing!


Partner bill


Aug 10, 2005, 4:18 AM
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Yes, but it would be a mistake to focus on the present time period exclusively, where the general relationship between the Fed rate and mortgage rates are concerned. What we are seeing now is an anomaly, for the reason I stated previously; that the bond yield curves are out of whack with historical norms.

Curt

Agreed, I believe that's why greenspan gave the "conundrum" speech back in February. I think the housing boom has more to do with investors looking for a place to put money, than fiscal policy in DC.


hangerlessbolt


Aug 10, 2005, 4:26 AM
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In reply to:
This is a very interesting situtation for me...

Good job on were you are now and how you got there.

I also come from a very blue-collar background. I went to college and have worked hard for everything.

Still-the American dream is becoming less and less available for many Americans.

Good jobs with good benefits, good healthcare and good shelter (house) are becoming less and less a reality for too many Americans.

This is not a good thing!

Most of my family didn't even know that jobs had benefits for quite sometime. The only "benefit" they cared about was the paycheck...even today, many blue-collar (or no collar) employees don't take full advantage of the benefits available to them. Healthcare is not nearly as important to some as it is to others. (I currently work in the manufacturing sector...and can tell you first-hand that many of the 500+ employees in my company wouldn't go to the doctor or see a dentist if you gave them money to do so...401k? Is laughed at.)
Again, homeownership doesn't come off as very appealing either. "An apartment works just fine for us." is what I was told a few weeks ago in a conversation with a lady (40+ yrs old with a husband and 2 teenagers) who works in my office.
An interesting circumstance...My oldest brother gave a cousin of mine a car...granted, it wasn't new...but it was something that would get him to and from work. He sold it and bought a big screen tv with the money. He still doesn't have a steady job. He continues to live off welfare and foodstamps (he's in his late 30's).


curt


Aug 10, 2005, 4:27 AM
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Yes, but it would be a mistake to focus on the present time period exclusively, where the general relationship between the Fed rate and mortgage rates are concerned. What we are seeing now is an anomaly, for the reason I stated previously; that the bond yield curves are out of whack with historical norms.

Curt

Agreed, I believe that's why greenspan gave the "conundrum" speech back in February. I think the housing boom has more to do with investors looking for a place to put money, than fiscal policy in DC.

You're absolutely right. That is why the lack of sound alternative investments has played such a large role in the housing boom. Money has been flowing out of the stock market and into real estate because that is basically the only place people can put their money today and expect a reasonable return. But, low mortgage rates are part of that equation.

Curt


bobd1953


Aug 10, 2005, 4:37 AM
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You're absolutely right. That is why the lack of sound alternative investments has played such a large role in the housing boom. Money has been flowing out of the stock market and into real estate because that is basically the only place people can put their money today and expect a reasonable return. But, low mortgage rates are part of that equation.

Curt

Which over-inflate prices and does nothing but hurt the average American.

Low mortgage rates have led to many homeowners refinancing their homes at record pace and losing what ever equity they had built in the past.


curt


Aug 10, 2005, 4:41 AM
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In reply to:
You're absolutely right. That is why the lack of sound alternative investments has played such a large role in the housing boom. Money has been flowing out of the stock market and into real estate because that is basically the only place people can put their money today and expect a reasonable return. But, low mortgage rates are part of that equation.

Curt

Which over-inflate [housing] prices and does nothing but hurt the average American.

Not to mention what this has done to the stock market. Still, you can't blame people for putting their money where it will do them the most good.

Curt


Partner bill


Aug 10, 2005, 4:43 AM
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In reply to:
In reply to:
Yes, but it would be a mistake to focus on the present time period exclusively, where the general relationship between the Fed rate and mortgage rates are concerned. What we are seeing now is an anomaly, for the reason I stated previously; that the bond yield curves are out of whack with historical norms.

Curt

Agreed, I believe that's why greenspan gave the "conundrum" speech back in February. I think the housing boom has more to do with investors looking for a place to put money, than fiscal policy in DC.

You're absolutely right. That is why the lack of sound alternative investments has played such a large role in the housing boom. Money has been flowing out of the stock market and into real estate because that is basically the only place people can put their money today and expect a reasonable return. But, low mortgage rates are part of that equation.

Curt

In the Phoenix market, I don't think mortgage rates have had all that much to do with it. The massive price run ups started long after low rates were in place. I purchased my home in 2001 at 6.75% which is historically a very low rate. The market was calm, and price gains were modest and rates were low through the balance of 2001 and into early 2003. The frenzy has been driven primarily by investors from out of state creating artificially high demand. I am happy that my $150,000 home is now worth $270,000, but I don't think it's a healthy long term trend for the Phoenix metro area.


reno


Aug 10, 2005, 4:45 AM
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This is a very interesting situtation for me...

I came from an incredibly impoverished background...
.
.
.
.
I'm even less convinced that everyone would do the right thing for themselves if given assistance. (Prime example is what I witnessed as a welfare recipient...it's quite a circus.)
A lot of folks don't find home ownership or even newer clothes a priority.

Right on for you, hangerless.... To start with a crappy hand such as you were dealt and make yourself into a success is a testament to your hard work, dedication, and discipline.

I didn't have it as rough as you, but I know where you come from... raised in a single parent house from age 4, back when my mother was making all of $3.00 an hour on night shift, we had nothing. Clothes were handed down from my older sibling, and a bottle of catsup, some hot water, and a bit of imagination became a tomato soup dinner. But we managed to survive, prosper, and are now all doing pretty OK. Mom even bought a house. :)

And, amazingly, we didn't need handouts, welfare, or the like to do it. Just hard work.

Some folks say the American Dream is dead. I disagree. It's still alive, but it takes work... something to which Americans as a whole have become averse in recent history, exchanging it for a sense of entitlement and self-validation of righteousness.

The economy isn't perfect. It's been healthier. I said this from the start. But it's been worse in the past, and the cyclical nature of the economy will make this whole discussion academic.


bobd1953


Aug 10, 2005, 4:48 AM
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The frenzy has been driven primarily by investors from out of state creating artificially high demand.

Bill-you sure it is not "out of country" money.


hangerlessbolt


Aug 10, 2005, 4:51 AM
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The fact is this...not every American shares the same dream.

The term that commonly appears in these discussion is "the average American"...my question is this, "what constitutes the average American?"


Partner bill


Aug 10, 2005, 4:52 AM
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The frenzy has been driven primarily by investors from out of state creating artificially high demand.

Bill-you sure it is not "out of country" money.

I've read about foreign money pouring into the Las Vegas and Miami markets, but most of what I see in AZ is California money.


bobd1953


Aug 10, 2005, 4:55 AM
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The term that commonly appears in these discussion is "the average American"...my question is this, "what constitutes the average American?"

In terms of income: $35,000 to $85,000. I could be wrong.


hangerlessbolt


Aug 10, 2005, 4:57 AM
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To quote the classic movie Office Space:

Peter - "Hey Lawerence, what would you do with a millions dollars?"

Lawerence - "I'll tell you what I'd man...two chicks at the same time."

Peter - "That's what you'd do with a millions dollars, two chicks at the same time?"

Lawerence - "Damn straight... always wanted to do that and with a million dollars, I think I could hook that up cause chicks dig guys with money."

Peter - "Well not all chicks."

Lawerence - "Well the kind that would double up on guy like me would."

I submit "The Average American"


curt


Aug 10, 2005, 4:58 AM
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Yes, but it would be a mistake to focus on the present time period exclusively, where the general relationship between the Fed rate and mortgage rates are concerned. What we are seeing now is an anomaly, for the reason I stated previously; that the bond yield curves are out of whack with historical norms.

Curt

Agreed, I believe that's why greenspan gave the "conundrum" speech back in February. I think the housing boom has more to do with investors looking for a place to put money, than fiscal policy in DC.

You're absolutely right. That is why the lack of sound alternative investments has played such a large role in the housing boom. Money has been flowing out of the stock market and into real estate because that is basically the only place people can put their money today and expect a reasonable return. But, low mortgage rates are part of that equation.

Curt

In the Phoenix market, I don't think mortgage rates have had all that much to do with it. The massive price run ups started long after low rates were in place. I purchased my home in 2001 at 6.75% which is historically a very low rate. The market was calm, and price gains were modest and rates were low through the balance of 2001 and into early 2003. The frenzy has been driven primarily by investors from out of state creating artificially high demand. I am happy that my $150,000 home is now worth $270,000, but I don't think it's a healthy long term trend for the Phoenix metro area.

But, 2001 is also when the NASDAQ tech bubble burst. These recent financial trends can not be analyzed in isolation from one another. It is basically after 2001 that the "smart" money shifted from dot-com investments into real estate. Also, we can't totally blame "out of state" investors. I know plenty of local people who bought three or four houses at a time, while they were under construction, only to "flip" them for profit by the time those homes had finished construction.

Curt


hangerlessbolt


Aug 10, 2005, 5:00 AM
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The term that commonly appears in these discussion is "the average American"...my question is this, "what constitutes the average American?"

In terms of income: $35,000 to $85,000. I could be wrong.

Are you referring to total household income or personal income?


bobd1953


Aug 10, 2005, 5:03 AM
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Are you referring to total household income or personal income?

Total.

From the US Census Bureau:

Real median household income remained unchanged between 2002 and 2003 at $43,318, according to a report released today by the U.S. Census Bureau. At the same time, the nation’s official poverty rate rose from 12.1 percent in 2002 to 12.5 percent in 2003. .


Partner bill


Aug 10, 2005, 5:04 AM
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But, 2001 is also when the NASDAQ tech bubble burst. These recent financial trends can not be analyzed in isolation from one another. It is basically after 2001 that the "smart" money shifted from dot-com investments into real estate. Also, we can't totally blame "out of state" investors. I know plenty of local people who bought three or four houses at a time, while they were under construction, only to "flip" them for profit by the time those homes had finished construction.

Curt

I also know local people who have "flipped houses", but those houses do end up back on the market. The"out of staters" purchase new homes and try to rent them out, or let them sit vacant while waiting for the price gains. You'd be amazed how many empty homes are sitting in new subdivisions all over the valley. This creates severe inventory and demand problems.


curt


Aug 10, 2005, 5:11 AM
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But, 2001 is also when the NASDAQ tech bubble burst. These recent financial trends can not be analyzed in isolation from one another. It is basically after 2001 that the "smart" money shifted from dot-com investments into real estate. Also, we can't totally blame "out of state" investors. I know plenty of local people who bought three or four houses at a time, while they were under construction, only to "flip" them for profit by the time those homes had finished construction.

Curt

I also know local people who have "flipped houses", but those houses do end up back on the market. The"out of staters" purchase new homes and try to rent them out, or let them sit vacant while waiting for the price gains. You'd be amazed how many empty homes are sitting in new subdivisions all over the valley. This creates severe inventory and demand problems.

I don't disagree with that at all. However, those "flipped" houses are also bought at prices perhaps $50k to $100k less than they are resold for--thereby artificially inflating housing prices for the eventual homeowners who actually intend to live in the homes.

Curt


Partner bill


Aug 10, 2005, 5:22 AM
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But, 2001 is also when the NASDAQ tech bubble burst. These recent financial trends can not be analyzed in isolation from one another. It is basically after 2001 that the "smart" money shifted from dot-com investments into real estate. Also, we can't totally blame "out of state" investors. I know plenty of local people who bought three or four houses at a time, while they were under construction, only to "flip" them for profit by the time those homes had finished construction.

Curt

I also know local people who have "flipped houses", but those houses do end up back on the market. The"out of staters" purchase new homes and try to rent them out, or let them sit vacant while waiting for the price gains. You'd be amazed how many empty homes are sitting in new subdivisions all over the valley. This creates severe inventory and demand problems.

I don't disagree with that at all. However, those "flipped" houses are bought at prices perhaps $50k to $100k less than they are resold for--thereby artificially inflating housing prices for the eventual homeowners who actually intend to live in the homes.

Curt

I tend to think it's the artificial demand from outside money that creates the environment where those kind of price gains are possible. Las Vegas went through a similar process recently, and prices flattened out and demand did return to much more "normal" levels as the builders become hostile and the investors pulled out. The builders in Phoenix are shutting out the investors now, and things will likely flatten out here as well.


curt


Aug 10, 2005, 5:26 AM
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But, 2001 is also when the NASDAQ tech bubble burst. These recent financial trends can not be analyzed in isolation from one another. It is basically after 2001 that the "smart" money shifted from dot-com investments into real estate. Also, we can't totally blame "out of state" investors. I know plenty of local people who bought three or four houses at a time, while they were under construction, only to "flip" them for profit by the time those homes had finished construction.

Curt

I also know local people who have "flipped houses", but those houses do end up back on the market. The"out of staters" purchase new homes and try to rent them out, or let them sit vacant while waiting for the price gains. You'd be amazed how many empty homes are sitting in new subdivisions all over the valley. This creates severe inventory and demand problems.

I don't disagree with that at all. However, those "flipped" houses are bought at prices perhaps $50k to $100k less than they are resold for--thereby artificially inflating housing prices for the eventual homeowners who actually intend to live in the homes.

Curt

I tend to think it's the artificial demand from outside money that creates the environment where those kind of price gains are possible. Las Vegas went through a similar process recently, and prices flattened out and demand did return to much more "normal" levels as the builders become hostile and the investors pulled out. The builders in Phoenix are shutting out the investors now, and things will likely flatten out here as well.

Well, I would sure like to think the market will eventually stabilize here, but how are builders "shutting out" investors? How did they do that in Las Vegas? Just curious.

Curt


hangerlessbolt


Aug 10, 2005, 5:32 AM
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Are you referring to total household income or personal income?

Total.

From the US Census Bureau:

Real median household income remained unchanged between 2002 and 2003 at $43,318, according to a report released today by the U.S. Census Bureau. At the same time, the nation’s official poverty rate rose from 12.1 percent in 2002 to 12.5 percent in 2003. .

I would presume that's taking into account the billionaires and millionaires as well (who are hardly "average")...which if you took those folks out...would drop the average considerably.

These aren't folks who care about what is going on on Wall Street...or how the stock market is doing.
These aren't folks who are putting money away for retirement...but rather playing the lottery in hopes that their "luck" will change.
They go to their "shit" jobs, eat fast food, drive old cars, and wait for their favorite show to come on tv.

That's the average American.

I'd be interested in a poll...listing various items of perceived importance...and find out what the average American takes stock in.
a) Would you rather have health care or a new set of tires for your truck?
b) Would you rather have your dentist bills covered or a new fishing pole?
c) If you could afford a trailer on an acre of someone else's land in the country or a 5-bedroom home in the suburbs, which would you purchase?

Based on my family's income alone (putting most of them below average)...I know what the answers would be...because I know where they put the money that I've given them.


Partner bill


Aug 10, 2005, 5:37 AM
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But, 2001 is also when the NASDAQ tech bubble burst. These recent financial trends can not be analyzed in isolation from one another. It is basically after 2001 that the "smart" money shifted from dot-com investments into real estate. Also, we can't totally blame "out of state" investors. I know plenty of local people who bought three or four houses at a time, while they were under construction, only to "flip" them for profit by the time those homes had finished construction.

Curt

I also know local people who have "flipped houses", but those houses do end up back on the market. The"out of staters" purchase new homes and try to rent them out, or let them sit vacant while waiting for the price gains. You'd be amazed how many empty homes are sitting in new subdivisions all over the valley. This creates severe inventory and demand problems.

I don't disagree with that at all. However, those "flipped" houses are bought at prices perhaps $50k to $100k less than they are resold for--thereby artificially inflating housing prices for the eventual homeowners who actually intend to live in the homes.

Curt

I tend to think it's the artificial demand from outside money that creates the environment where those kind of price gains are possible. Las Vegas went through a similar process recently, and prices flattened out and demand did return to much more "normal" levels as the builders become hostile and the investors pulled out. The builders in Phoenix are shutting out the investors now, and things will likely flatten out here as well.

Well, I would sure like to think the market will eventually stabilize here, but how are builders "shutting out" investors? How did they do that in Las Vegas? Just curious.

Curt

In some cases they just out flat out refuse to sell to investors. They run credit checks to see if you already own multiple properties, they write into the contracts that they have to be owner occupied. They can also require you to use their in house lenders, put down large downpayments etc. They basically make the market hostile enough that the investors begin to look elsewhere.


thorne
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Aug 10, 2005, 12:12 PM
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Econ 101 - The market is driven by supply and demand. The market seeks equilibrium...... and periodically finds it.

Everything else is just drama.


reno


Aug 10, 2005, 4:52 PM
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Econ 101 - The market is driven by supply and demand. The market seeks equilibrium...... and periodically finds it.

Thorne, don't bother. You can't use simple logic with these guys, cause they just don't believe it. Things have to be made complex, so they can say things like "You don't understand, so STFU."

In their world, Occam's Razor is a competitor of the Gillette Mach 3 Turbo.


bobd1953


Aug 10, 2005, 9:38 PM
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Thorne, don't bother. You can't use simple logic with these guys, cause they just don't believe it. Things have to be made complex, so they can say things like "You don't understand, so STFU."

If you think it's that simple..."You don't understand, so STFU."
:lol:

Let get away from theory and into real life.

Reno- How many companies or businesses have you run or been responsible with it's financial well being?

How many people have worked under you and that you were directly responsible for their financial well being?

How many houses have you bought and sold?

How many children have you raise, supported and put through college?


pinktricam


Aug 10, 2005, 9:47 PM
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Being an artist and art not generally considered being an essential necessity for purposes of living day in and day out, I personally gauge how well our economy's doing by my sales....and guess what? It's been doin' fine, baby :!:


bobd1953


Aug 10, 2005, 9:59 PM
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Being an artist and art not generally considered being an essential necessity for purposes of living day in and day out, I personally gauge how well our economy's doing by my sales....and guess what? It's been doin' fine, baby

Didn't realize that the market for velvet paintings was that strong. :o


curt


Aug 10, 2005, 9:59 PM
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Econ 101 - The market is driven by supply and demand. The market seeks equilibrium...... and periodically finds it.

Thorne, don't bother. You can't use simple logic with these guys, cause they just don't believe it. Things have to be made complex, so they can say things like "You don't understand, so STFU."

In their world, Occam's Razor is a competitor of the Gillette Mach 3 Turbo.

Things shouldn't be made any more complicated than necessary to explain something adequately. However, being more simplistic than that does not work either. You tend to be overly simplistic; but I suppose if the only tool you have is a hammer, the whole world looks like a nail, eh?

Curt


pinktricam


Aug 10, 2005, 10:03 PM
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Being an artist and art not generally considered being an essential necessity for purposes of living day in and day out, I personally gauge how well our economy's doing by my sales....and guess what? It's been doin' fine, baby

Didn't realize that the market for velvet paintings was that strong. :o
Heh...funneeeee, bob :lol:

Just put this up today: Check it out :wink:


bobd1953


Aug 10, 2005, 10:10 PM
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bobd1953 wrote:
Quote:
Being an artist and art not generally considered being an essential necessity for purposes of living day in and day out, I personally gauge how well our economy's doing by my sales....and guess what? It's been doin' fine, baby



Didn't realize that the market for velvet paintings was that strong.

Heh...funneeeee, bob

Just put this up today: Check it out

Nice stuff.


hangerlessbolt


Aug 10, 2005, 10:13 PM
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Nice work PTC


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