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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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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?

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:
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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In reply to:

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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

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