+ Reply to Thread
Results 1 to 4 of 4

Thread: Someone from Kansas tell me about

  1. Join Date
    Jan 2009
    Posts
    220

    Someone from Kansas tell me about

    the real story of Kathleen Sebelius as Commissioner of Insurance from your perspective. She is going to have a monumental impact on the type of health remedies offered by the Obama administration and I would like to know how people view her alturism and her association with insurance companies. Links would be fine.....

  2. Join Date
    Jan 2009
    Location
    Joplin MOzzuri
    Posts
    352

    She's all business.

    As Sebelius goes, so goes Kansas.

    I live on the border of Kansas and Missouri. I have relatives in Kansas with children. I know that children in Kansas recieve free health care until at least the age of twelve.

    http://news.yahoo.com/s/ap/20090221/...e/sebelius_hhs
    If you can't find the time to do it right, how will you ever find the time to do it over?

  3. Join Date
    Jan 2009
    Posts
    220

    Of course this is a social commentary, not collision but worthwhile to consider...

    Old age (technically, I am elderly...gag) and having a daughter that depends on us to care for her have made me more aware of the real needs beyond the "uninsured" that is touted. I have spend a lot of time in medical facilities, working with care givers, insurers and observing the needs 'on the floor' so to speak for near 14 years; last year almost continuous.

    As most might imagine there are the truly needy that have nothing, will have nothing and can because of some infirmity, contribute nothing. And there are aliens that can contribute that do, and those that can and don't.....they work the system. And there are citizens that can contribute that don't and work the system to their income advantage as well as medical advantage. Then there are people like my daughter, a teacher that did not fulfill her retirement before becoming ill..by one year, and very little contribution to SS in High School and during college, so basically nothing there...and the list goes on.

    But I do know this. Every emergency room is full to the gills with hours and hours of wait time for everyone, regardless of capacity to pay, and hospitals are stretched to the limits as are taxpayers who have to pay the bill that insurer's don't. Hospital performance is spotty from the very large to the small, and very inefficient, continuity of care even in a single hospitalization is poor, at best even those that are tying to do the best they can, glaringly so to me since operational issues are my long suit....if I have one. Insurance companies by and large I think, are doing as good a job as they can given the circumstances, without looking at financial performance.

    Cost are soaring because of the quest for long/quality of life regardless of the infirmity, but the infirmities that are most prevalent receive the lion's share of the effort....life threatening or not....

    The other thing I believe and know is that everyone that can contribute, those that can't, deserve our best effort to care for them...everyone. Those that don't contribute that can......now that is a real conundrum that will bedevil us all for it raises the real specter of socialism in determining who, why or why not and how can they be forced to contribute or to work to curtail their demands upon the system through personal health initiatives...birth control, obesity, smoking, drugs, etc. Or are the one's that can pay, responsible for them as well? Watch for this to be a very hot potato. And then you have the illegals, which sounds like a sub species...and I hate that term because we are all human beings, but a clear line has to be drawn. We certainly at this stage cannot take care of the entire world with our resources. So that sets stage for another conundrum but much easier sorted out than the one where people can, and don't, and work the system.

    There are very complicated issues to sort out, and serious decisions that have to be made, but if this country stands for anything, it is to do the right thing for citizen health and well being.

  4. Join Date
    Jan 2009
    Location
    Joplin MOzzuri
    Posts
    352

    Not sure if there is a quick fix or long term solution

    I live in a health services community with two hospitals competing for services and care. My wife works for one which is non profit and does not turn anyone away for lack of ability to pay for non emergency treatment.

    Both hospitals, if memory serves correctly, have more than fifty percent services that go unpaid by anybody. One hospital has a majority of the steered patients via prefered provider contracts, the other has 65 percent medicare patients. Both are teetering on remaining solvent.

    My daughter works for a state hospital in Oklahoma that is bankrupt and being taken over by network of other hospitals. Hospitals everywhere are trimming the fat and administrative positions to remain competitive or solvent. Most hospitals also have at least 13 malpractice suits going at anyone time as Doctors are now employees of the hospitals.

    My wife has a masters degree in nursing and business administration and is in the second year of operating under a federal grant to educate the poorand uninsured, the aged, and illegal aliens in area communities about diabetes prevention. The federal government recognizes that if diabetes isn't reversed or gotten under control, it alone will bankrupt medicare in the very near future.

    I believe in conservative values and responsibility for oneself, but I think as a nation, we are beyond the ability of most to afford healthcare. It's so much more than cutting the fat and fraud to right the course for prolonged healthcare for average americans. Hospitals now are implementing review boards to determine the necessity for treatment and making ethical decisions based on life expectancy and cost ratios to make decisions on who qualifies for some forms of care and whether it is administered at all.
    If you can't find the time to do it right, how will you ever find the time to do it over?

+ Reply to Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts