President Barack Obama - Term 1 and 2 Thread

[S2M]

In fact doctors that over use testing can get in trouble with the insurance companies.

Exactly! And every test that's ordered has to be justified. I can't just run a battery of tests for the hell of it-I have to give a diagnosis or a symptom to justify EVERY test I order.

Then why do I get billed $80 for 2 Tylenol?

To pay for the nursing, the doctor and equipment used to treat you while you are in the hospital.

How long do I have to keep paying for that 5-year old IV drip dispenser?

[Angel]

In fact doctors that over use testing can get in trouble with the insurance companies.

Exactly! And every test that's ordered has to be justified. I can't just run a battery of tests for the hell of it-I have to give a diagnosis or a symptom to justify EVERY test I order.

Then why do I get billed $80 for 2 Tylenol?

Well, this question doesn't make any sense in this context but I'll answer it. I'm assuming you mean you pay that much for two tylenol in the hospital-which has nothing to do with how many tests are ordered...but, it's more than just the tylenol that you are paying for. It's the pharmacist that is verifying that the tylenol isn't going to interact with other meds you are taking, that any of your drug allergies are going to be affected by tylenol. It's paying for the nurse that administers the tylenol then monitors for any reactions, for effectiveness and managing any problems related to it. Besides, if all you need is Tylenol-it's probably time for you to be discharged.

[RossValoryRocks]

In fact doctors that over use testing can get in trouble with the insurance companies.

Exactly! And every test that's ordered has to be justified. I can't just run a battery of tests for the hell of it-I have to give a diagnosis or a symptom to justify EVERY test I order.

Then why do I get billed $80 for 2 Tylenol?

To pay for the nursing, the doctor and equipment used to treat you while you are in the hospital.

How long do I have to keep paying for that 5-year old IV drip dispenser?

Good question...I would assume you are paying for the upkeep on it at that point...it is most likely to mostly be costs of the nursing and administrative costs, on top of the tylenol costs itself (a small amount obviously) and I really doubt it is $80 for 2 tylenol...last hosptial bill I had last summer it was about $10 for 2 tylenol 3's.

[Angel]

In fact doctors that over use testing can get in trouble with the insurance companies.

Exactly! And every test that's ordered has to be justified. I can't just run a battery of tests for the hell of it-I have to give a diagnosis or a symptom to justify EVERY test I order.

Then why do I get billed $80 for 2 Tylenol?

To pay for the nursing, the doctor and equipment used to treat you while you are in the hospital.

How long do I have to keep paying for that 5-year old IV drip dispenser?

Tylenol isn't given by IV....but it can be shoved up your ass...maybe you should request that route next time...

[Rockindeano]

In fact doctors that over use testing can get in trouble with the insurance companies.

Exactly! And every test that's ordered has to be justified. I can't just run a battery of tests for the hell of it-I have to give a diagnosis or a symptom to justify EVERY test I order.

Then why do I get billed $80 for 2 Tylenol?

To pay for the nursing, the doctor and equipment used to treat you while you are in the hospital.

Really? And that is ethical? Pass the buck onto someone else to help cover hospital overhead? Hmm, maybe we ought to revisit my thoughts on Gov't involvment. Hospitals are privately run, yes? Many are. If what you said is true, shame on the hospital. Hell, a patient could deny the two tylenol(which don't work anyway), and the hospital could still stick the charge in the bill and no one would ever know it. Wow, two tylenol covers three hours of labour for a nurse. Genius creative billing.

Perhaps if the Gov't ran the hospital, this kind of shit wouldn't happen.

My point in all of this arguing comes down to this. I think it is absolutely shameful that people in the USA make profits off of sick citizens, and big fake and exagerrated profits at that.

[Angel]

In fact doctors that over use testing can get in trouble with the insurance companies.

Exactly! And every test that's ordered has to be justified. I can't just run a battery of tests for the hell of it-I have to give a diagnosis or a symptom to justify EVERY test I order.

Then why do I get billed $80 for 2 Tylenol?

Well, this question doesn't make any sense in this context but I'll answer it. I'm assuming you mean you pay that much for two tylenol in the hospital-which has nothing to do with how many tests are ordered...but, it's more than just the tylenol that you are paying for. It's the pharmacist that is verifying that the tylenol isn't going to interact with other meds you are taking, that any of your drug allergies are going to be affected by tylenol. It's paying for the nurse that administers the tylenol then monitors for any reactions, for effectiveness and managing any problems related to it. Besides, if all you need is Tylenol-it's probably time for you to be discharged.

I forgot to add, you are also paying for the difference in cost between the Tylenol the patient in the next room got and the amount his government assistance will pay for it.

[Rockindeano]

In fact doctors that over use testing can get in trouble with the insurance companies.

Exactly! And every test that's ordered has to be justified. I can't just run a battery of tests for the hell of it-I have to give a diagnosis or a symptom to justify EVERY test I order.

Then why do I get billed $80 for 2 Tylenol?

To pay for the nursing, the doctor and equipment used to treat you while you are in the hospital.

How long do I have to keep paying for that 5-year old IV drip dispenser?

Tylenol isn't given by IV....but it can be shoved up your ass...maybe you should request that route next time...

Serious question Natalie. Do 2 Tylenol really costs 80 bucks? How much would 2 Vicodins cost, and can you really shove pain killers up the ass and have them work? I am being serious...why would you do that short of having a wired shut jaw?

[Angel]

My point in all of this arguing comes down to this. I think it is absolutely shameful that people in the USA make profits off of sick citizens, and big fake and exagerrated profits at that.

So you think that I shouldn't be paid a good salary for taking care of sick people??????

[Rockindeano]

My point in all of this arguing comes down to this. I think it is absolutely shameful that people in the USA make profits off of sick citizens, and big fake and exagerrated profits at that.

So you think that I shouldn't be paid a good salary for taking care of sick people??????

Absolutely.

[RedWingFan]

This pretty much sums it up. Obamacare will only make this worse than it is. What we need is more personal accountability.
Click on the image to enlarge.

[RPM]

Reality is that Drug companies need to recoup the R&D money....you think they are gonna take the reach around on that? I think there needs to be a law on just how long a pharma can recoup money before they have to make the drug affordable. But that's just my line of thinking. Money before life, right?

They do....7 years. Then a generic can be made and often times the brand name drug price will drop as well to compete with the generic, but since the generic is the SAME thing most people just get the generic anyway.

Hmmm....I think that is true, but if a person has good coverage they get the brand name, and the drug company gets the full price....if the person is under-insured, or it's out of pocket - they get generic, no?

Ok...so how do ofset the cost of researching the drug? It IS VERY expensive to bring a drug to market.

Not being a smart ass here...asking a serious question...the US drug companies do something on the order of 75% of the worlds research precisely because they CAN make the money back...what happens when they can't anymore because some liberal thinks it is "immoral"?

It certainly is very expensive to bring drugs to market, sticking the cost to the U.S. worked in the past,
when unemployment was 4% , we can no longer afford to subsidize the rest of the world.

[S2M]

My point in all of this arguing comes down to this. I think it is absolutely shameful that people in the USA make profits off of sick citizens, and big fake and exagerrated profits at that.

So you think that I shouldn't be paid a good salary for TEACHING YOUR CHILDREN??????

I'll fix it for you......every profession thinks they are god's gift to the working world.....did you go into the Healthcare profession to become rich?

[RossValoryRocks]

In fact doctors that over use testing can get in trouble with the insurance companies.

Exactly! And every test that's ordered has to be justified. I can't just run a battery of tests for the hell of it-I have to give a diagnosis or a symptom to justify EVERY test I order.

Then why do I get billed $80 for 2 Tylenol?

To pay for the nursing, the doctor and equipment used to treat you while you are in the hospital.

Really? And that is ethical? Pass the buck onto someone else to help cover hospital overhead? Hmm, maybe we ought to revisit my thoughts on Gov't involvment. Hospitals are privately run, yes? Many are. If what you said is true, shame on the hospital. Hell, a patient could deny the two tylenol(which don't work anyway), and the hospital could still stick the charge in the bill and no one would ever know it. Wow, two tylenol covers three hours of labour for a nurse. Genius creative billing.

Perhaps if the Gov't ran the hospital, this kind of shit wouldn't happen.

My point in all of this arguing comes down to this. I think it is absolutely shameful that people in the USA make profits off of sick citizens, and big fake and exagerrated profits at that.

Hospitals are ALL non-profits...ALL of them...services have to be paid for, how exactly do you propose to pay the salary of the nurses.

As I said to S2M, I paid about $10 for 2 tylenols this summer when I was hospitalized.

It is completely ethical for a hospital to cover costs.

You lose again...keep trying though.

[Angel]

Serious question Natalie. Do 2 Tylenol really costs 80 bucks?

No. And I really doubt that's what anyone is billed. I think it's more like $15.

How much would 2 Vicodins cost

I have no idea.

can you really shove pain killers up the ass and have them work?

Yes, many pain meds can be given by rectal suppository.

I am being serious...why would you do that short of having a wired shut jaw?

Because you're so nauseated you can't keep anything down and you need pain meds or tylenol for fever reduction. Or because for whatever reason you can't take anything by mouth...there are lots of reasons for that.

[RossValoryRocks]

Reality is that Drug companies need to recoup the R&D money....you think they are gonna take the reach around on that? I think there needs to be a law on just how long a pharma can recoup money before they have to make the drug affordable. But that's just my line of thinking. Money before life, right?

They do....7 years. Then a generic can be made and often times the brand name drug price will drop as well to compete with the generic, but since the generic is the SAME thing most people just get the generic anyway.

Hmmm....I think that is true, but if a person has good coverage they get the brand name, and the drug company gets the full price....if the person is under-insured, or it's out of pocket - they get generic, no?

Ok...so how do ofset the cost of researching the drug? It IS VERY expensive to bring a drug to market.

Not being a smart ass here...asking a serious question...the US drug companies do something on the order of 75% of the worlds research precisely because they CAN make the money back...what happens when they can't anymore because some liberal thinks it is "immoral"?

It certainly is very expensive to bring drugs to market, sticking the cost to the U.S. worked in the past,
when unemployment was 4% , we can no longer afford to subsidize the rest of the world.

I agree...how do you get Canada, England and the others to change their laws so that companies can make enough profit to cover the R and D to bring a new drug to market?

[Rockindeano]

This pretty much sums it up. Obamacare will only make this worse than it is. What we need is more personal accountability.
Click on the image to enlarge.

And how is this Obamacare's fault? The line graphs in question are already enroute prior to Obamacare being initiated.

[RedWingFan]

My point in all of this arguing comes down to this. I think it is absolutely shameful that people in the USA make profits off of sick citizens, and big fake and exagerrated profits at that.

So you think that I shouldn't be paid a good salary for TEACHING YOUR CHILDREN??????

I'll fix it for you......every profession thinks they are god's gift to the working world.....did you go into the Healthcare profession to become rich?

Do you want the brain surgeon and the nurses who get him the medications and instruments to have to wrap up your surgery so they can make their shift at the Home Depot?

[RossValoryRocks]

My point in all of this arguing comes down to this. I think it is absolutely shameful that people in the USA make profits off of sick citizens, and big fake and exagerrated profits at that.

So you think that I shouldn't be paid a good salary for TEACHING YOUR CHILDREN??????

I'll fix it for you......every profession thinks they are god's gift to the working world.....did you go into the Healthcare profession to become rich?

No ones works a job to become rich...but you should be able to be PAID to do your job.

[Angel]

I'll fix it for you......every profession thinks they are god's gift to the working world.....did you go into the Healthcare profession to become rich?

I don't think I'm god's gift to the working world, but I do think I deserve to be paid for what I do. And, NO, I didn't go into healthcare to become rich-and in my field, I will never be "rich" but I would like to make enough to life a comfortable life-I don't think there's anything wrong with that.

[RedWingFan]

This pretty much sums it up. Obamacare will only make this worse than it is. What we need is more personal accountability.
Click on the image to enlarge.

And how is this Obamacare's fault? The line graphs in question are already enroute prior to Obamacare being initiated.

It's because people don't actually pay for their medical services Dean. A third party has to pay for it. Watch this and tell me it doesn't make sense to you.

http://www.youtube.com/watch?v=3WnS96NVlMI

[Rockindeano]

My point in all of this arguing comes down to this. I think it is absolutely shameful that people in the USA make profits off of sick citizens, and big fake and exagerrated profits at that.

So you think that I shouldn't be paid a good salary for TEACHING YOUR CHILDREN??????

I'll fix it for you......every profession thinks they are god's gift to the working world.....did you go into the Healthcare profession to become rich?

No ones works a job to become rich...but you should be able to be PAID to do your job.

Really? MLB players don't go into the profession to make huge bank? Lawyers don't study 8 years in college to become filthy rich republicans? Business people all go ionto business, to um, make loads of dough.

Are you high tonight?

[S2M]

My point in all of this arguing comes down to this. I think it is absolutely shameful that people in the USA make profits off of sick citizens, and big fake and exagerrated profits at that.

So you think that I shouldn't be paid a good salary for TEACHING YOUR CHILDREN??????

I'll fix it for you......every profession thinks they are god's gift to the working world.....did you go into the Healthcare profession to become rich?

No ones works a job to become rich...but you should be able to be PAID to do your job.

Teachers are paid. A full year's salary for 8 months of work, including a whole lot of off days, and vacations. Teachers are paid well enough not to strike every 4 years, or so....I don't feel sorry for teachers AT ALL.

[Rockindeano]

My point in all of this arguing comes down to this. I think it is absolutely shameful that people in the USA make profits off of sick citizens, and big fake and exagerrated profits at that.

So you think that I shouldn't be paid a good salary for TEACHING YOUR CHILDREN??????

I'll fix it for you......every profession thinks they are god's gift to the working world.....did you go into the Healthcare profession to become rich?

No ones works a job to become rich...but you should be able to be PAID to do your job.

Teachers are paid. A full year's salary for 8 months of work, including a whole lot of off days, and vacations. Teachers are paid well enough not to strike every 4 years, or so....I don't feel sorry for teachers AT ALL.

Do your research on this. Teachers are paid squat. Yeah, they work 8 months a year and make 30K. They also have to spend out of their own pockets for classroom supplies and the like. teachers, the good ones, are so important for society it isn't funny. You continue to pay these lame salaries, you will continue to have shitty teachers. many are good and care about their jobs, while many feel like they have to go spend 6 hours reading the sports page while the kids do math.

[RossValoryRocks]

My point in all of this arguing comes down to this. I think it is absolutely shameful that people in the USA make profits off of sick citizens, and big fake and exagerrated profits at that.

So you think that I shouldn't be paid a good salary for TEACHING YOUR CHILDREN??????

I'll fix it for you......every profession thinks they are god's gift to the working world.....did you go into the Healthcare profession to become rich?

No ones works a job to become rich...but you should be able to be PAID to do your job.

Really? MLB players don't go into the profession to make huge bank? Lawyers don't study 8 years in college to become filthy rich republicans? Business people all go ionto business, to um, make loads of dough.

Are you high tonight?

Let me rephrase...you don't work a regular day to day job to become rich...starting your own business or putting in the sweat to become a member of a professional sports team is a differnt animal entirely.

[S2M]

I have, Deano....

http://teacherportal.com/teacher-salaries-by-state

Look at the 10-year increase percentages....

Look at your state. I'd love to start a job at 22-23 making close to 36,000

[Rockindeano]

I have, Deano....

http://teacherportal.com/teacher-salaries-by-state

Look at the 10-year increase percentages....

Look at your state. I'd love to start a job at 22-23 making close to 36,000

36,000 dollars in California is poor. You can't survive in California at 36K. This ain't Minnesota or South Carolina. This is fucking California.

[RossValoryRocks]

I have, Deano....

http://teacherportal.com/teacher-salaries-by-state

Look at the 10-year increase percentages....

Look at your state. I'd love to start a job at 22-23 making close to 36,000

36,000 dollars in California is poor. You can't survive in California at 36K. This ain't Minnesota or South Carolina. This is fucking California.

Which is why the income tax should be adjusted for where you live...a person making $100,000 in Pittsburgh is doing very good...making $100,000 in California...not so much...yet both pay the same in federal taxes...

[Rockindeano]

I was just over at a Transportation Board(yeah, I frequent serious boards too), and I snipped this comment from an elderly retired medical employee.

Natalie, Donna, can you comment on this?

> I am a retired hospital administrator. Mr. Issa
> is absolutely correct about the fraud in Medicare.
> If we could cut off the state of Florida and part
> of Texas and southern California, we could reduce
> the amount of Medicare fraud enough to pay for all
> of the "Obama care" etc. Can you tell me why a
> 90+ year old female with heart problems has to
> have a mammogram before discharge from the
> hospital? I have two friends who have run into
> this with their elderly mothers (one in California
> and one on the east coast) . That's just a small
> example. We have Vietnamese in San Jose CA who
> run bus loads of people (whom they pay) down to
> LA for unnecessary tests, "procedures" etc. and
> then bill Medicare for them. We have dialysis
> centers billing Medicare for patients who have
> died or been removed from dialysis long ago but
> are still being paid since dialysis for any age is
> paid for by Medicare. Part of the problem is the
> sheer magnitude of the numbers of people and
> procedures and paper work and etc and how many
> people are available to track this stuff. The
> people scamming the system can do so very quickly
> and by the time "the system' catches up with them,
> they are long gone and the Medicare money is in
> their pockets.
>
> Don't get me started.
> C.

This struck me as a very interestring post.

[verslibre]

My point in all of this arguing comes down to this. I think it is absolutely shameful that people in the USA make profits off of sick citizens, and big fake and exagerrated profits at that.

So you think that I shouldn't be paid a good salary for TEACHING YOUR CHILDREN??????

I'll fix it for you......every profession thinks they are god's gift to the working world.....did you go into the Healthcare profession to become rich?

No ones works a job to become rich...but you should be able to be PAID to do your job.

Teachers are paid. A full year's salary for 8 months of work, including a whole lot of off days, and vacations. Teachers are paid well enough not to strike every 4 years, or so....I don't feel sorry for teachers AT ALL.

You forgot about the zillion hours of prep work and conferencing teachers put in when the students aren't actually sitting in the classroom.

And believe it or not, some teachers do work a second job. Southern California isn't San Antonio, that's for sure.

[Melissa]

But isn't the cost elevated because people don't pay?

Yep, one of THE biggest reasons why. Did you know, here in FL anyway, that people on Medicaid can even get over the counter meds covered by the government? The Tylenol and Advil and Claritin and things like that, that people like us who work and have to pay for ourselves, they get it for FREE.