tag:blogger.com,1999:blog-7481238059942383326.post628160703543807797..comments2023-11-28T20:40:14.193-08:00Comments on Fix Pacifica: No Cost Containment and a Fat New TaxFix Pacificahttp://www.blogger.com/profile/14451072441256706977noreply@blogger.comBlogger32125tag:blogger.com,1999:blog-7481238059942383326.post-10567184567832876312010-01-19T22:44:50.150-08:002010-01-19T22:44:50.150-08:00I don't know about anybody else, but a family...I don't know about anybody else, but a family my size is going to get soooo screwed. We pay for our own benefits. Always have. After all the taxes by local, county, state, federal start, I'll be lucky if I have enough money left over to buy milk. No shopping for me. Not for a long long time.Kathleen Rogannoreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-68821987011596301832010-01-19T21:31:30.590-08:002010-01-19T21:31:30.590-08:00I would ask Anonymus how he/she uses and likes the...I would ask Anonymus how he/she uses and likes the health care provided by the Web site he/she provided for the benefit of the "learning disability('d)" Steve and yours truly.<br />And it would be easier to address you if you selected a particular moniker, say, "smugcomments4" or "ivegotminescrewyou".<br /><br />And please, use small words for our benefit.<br /><br />To Ms. Valente: Why is it that there are 50 million health-uninsured people in America, and why are health-related bills the number one cause of bankruptcy?Lionel Emdenoreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-44264852128402510002010-01-19T15:13:53.520-08:002010-01-19T15:13:53.520-08:00This current government wants total control. What ...This current government wants total control. What are you blind?Kathleen Rogannoreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-65081376933394260802010-01-19T13:23:34.396-08:002010-01-19T13:23:34.396-08:00Suzanne, I see you're still nursing your grudg...Suzanne, I see you're still nursing your grudge from the time I said your Pacifica Watchdogs recall effort was an example of how Council's opponents keep shooting themselves in the feet.<br /><br />That said, I appreciate that you actually put some thought into your comment, rather than resorting to meaningless, Glenn Beck-ian hyperbole like "The government wants total control" to the question of why do people buy medical insurance.Steve Sinainoreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-46436122020590879442010-01-19T12:03:05.429-08:002010-01-19T12:03:05.429-08:00Suzanne, I think comprehensive text and from a pro...Suzanne, I think comprehensive text and from a professional perspective, but Steve has also offered a solid perspective from that of a small business owner. And, as the prospect of health care reform stands right now I think most small business people would agree with Steve's view. <br /><br />Federal oversight is needed, because state-to-state approach offers many benefit variations. Example, maternity: included, complications only, not included. And to the extent included big cost. <br /><br />Reforms are needed within and outside the system. Suzanne has mentioned tort and possibly clinic reform. Multiple government agency overlap is another issue (county, state, etc.).<br /><br />Individual and family health insurance plan access needs reform. Some people don't qualify, and the CA State plan is expensive and limited at the level of catastrophic coverage. To the extent such a plan exists in other states is unknown to me. <br /><br />As Steve mentioned, cost is an issue. Example,<br />about 15 years ago, when New York included access to their medical plans for those who had not been insured prior, the cost increased $100 per person. It follows, that by adding such benefits as maternity and access to coverage will not reduce cost. <br /><br />Pharmacy is another piece of needed reform. While waiting for a patient I observed three pharmaceutical representatives waiting to see the physician with boxes of "free" samples. No doubt these representative educate physicians, and delivery of samples adds value for patients, but is this kind of custom approach necessary? <br /><br />To reduce cost there must be an actual effort to reform the entire system. Will it happen? <br />Wait and see.Kathy Meehhttps://www.blogger.com/profile/14000878422176050692noreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-79930774388601664752010-01-19T11:02:47.734-08:002010-01-19T11:02:47.734-08:00Did anyone read this article?
Health-plan tax woul...Did anyone read this article?<br />Health-plan tax would hit Californians hard<br />www.sfgate.comKathleen Rogannoreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-64622779886047843972010-01-19T10:45:56.135-08:002010-01-19T10:45:56.135-08:00What a smart woman Suzanne is! Thank you for your ...What a smart woman Suzanne is! Thank you for your insight. I knew most of that...just didn't know how to say it.Loishttps://www.blogger.com/profile/04561182838150666364noreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-29596612048725016332010-01-19T09:57:12.118-08:002010-01-19T09:57:12.118-08:00How sad! Once again Steve Sinai has taken a legit...How sad! Once again Steve Sinai has taken a legitimate discussion regarding an important topic and turned it into a childish, name-calling tirade. <br /><br />As a healthcare provider, maybe I can clarify a bit of this discussion. Community health centers DO exist, and they fill a need for many people that DOES include comprehensive care in addition to preventive care, dental, vision and prescriptions. Just ask any healthcare provider trained here in California--we have all worked in these facilities as a part of our training. Why the leadership in the Congress and the President talk about people dying in the streets as a part of this healthcare reform discussion baffles me, as they allocated approximately 100 billion dollars to these health centers in the stimulus package in anticipation of rising unemployment and heightened need. This information is irrefutable, and all on government web sites. The first step to a rational discussion would require an acceptance of what would be considered as fact (unless you have an inability to trust your government on ANYTHING). I trust them on this information because I have seen and worked in these clinics firsthand. <br /><br />In my opinion, people still buy insurance because the waits are shorter in private practice, and you can choose your doctors and hospitals. If I needed a serious surgical procedure, I would prefer to pay and choose my surgeon. I have had personal experience with patients who desired to try cutting edge treatments to save their lives when, for example, traditional cancer care has failed. In that situation, community health centers would NOT pay for the cutting edge treatments, and frankly, neither would most insurance. This is generally the root cause of the stories you hear when people go bankrupt after medical care. Public health care (especially a single payor government system will NEVER be able to cover those types of treatments). Fact is, those who can pay will always get preferred care--it is just the way it is. In countries with government health care like the UK and Canada, those who want cutting edge care and can pay for it come here to the USA to get it. If we destroy that opportunity here, clinics for advanced care will be set up in ohter countries like Costa Rica--I was told about this by an insurance insider recently.<br /><br />There ARE problems with healthcare, but more in its administration than the actual care provided. Insurance companies should be able to sell insurance across state lines, and we should be able to choose policies that cover what we want covered, instead of states demanding every policy sold in the state have mandated conditions covered. That reform would be a good idea. <br /><br />Additionally, State Insurance Commissioners have the ability to regulate insurance companies more closely, and impose penalties for insurance companies who do not pay claims or unduly deny valid claims. I have had personal experience in this area, and I have found State Insurance Commissioners sometimes impose penalties, but only after hundreds or thousands of people have been victimized, and even then the penalties are so small as to fail to discourage the bad behavior by the insurance company. I think the money donated to political campaigns has a lot to do with this problem. <br /><br />Pre-existing conditions are addressed by the current infrastructure. There is a State-sponsored pool of insureds who have pre-existing conditions. We, the taxpayers, underwrite their insurance. However, the pool is too small and often there are waiting lists for admission into this pool. This pool should be fully funded--it would be a cheap solution to the problem vs. overhauling our whole system to resolve this issue. <br /><br />And this legislation is utterly silent on much needed tort reform. Defensive medicine costs us all. Why have the lawyers been left out of the picture? There's another follow the money issue. So much more...Suzanne Valentenoreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-12997996718230235142010-01-19T08:12:24.481-08:002010-01-19T08:12:24.481-08:00"Casualty of a right wing "get back"..."Casualty of a right wing "get back" smear campaign" <br /><br />Steve, I was equating that whole discussion with crap.Loishttps://www.blogger.com/profile/04561182838150666364noreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-17716322630402440502010-01-19T08:05:24.357-08:002010-01-19T08:05:24.357-08:00Kathy,thank you for acknowledging that "some ...Kathy,thank you for acknowledging that "some people do want a complete government take-over of health care".Loishttps://www.blogger.com/profile/04561182838150666364noreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-12474541954944781932010-01-19T07:44:59.256-08:002010-01-19T07:44:59.256-08:00Anonymous said...
There's lots of us anonymous...Anonymous said...<br />There's lots of us anonymouses<br /><br />Steve Sinai said...<br />I guess that means there's lots of cowards.<br />-----------<br />There's lots of assholes here.<br /><br />Neener neener neener.<br /><br />What a juvenile jerk you are.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-50322314604786334462010-01-18T22:04:42.439-08:002010-01-18T22:04:42.439-08:00Lois, some people really do want a complete govern...Lois, some people really do want a complete government take-over of health care. No doubt about it. Complete Medicare, and maybe the entire system which is currently all private corporations collapsed and folded into a government system. That would be total chaos. <br /><br />My guess you got the "wing nut" comment on this one thanks to some prior "nasty comment" interference from "anonymous", see how that works anonymous? Just my opinion.Kathy Meehhttps://www.blogger.com/profile/14000878422176050692noreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-4170298450315555002010-01-18T22:03:20.478-08:002010-01-18T22:03:20.478-08:00Didn't you just equate Van Jones with crap, Lo...Didn't you just equate Van Jones with crap, Lois?Steve Sinainoreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-9826646067430410212010-01-18T21:54:46.856-08:002010-01-18T21:54:46.856-08:00Thanks Lionel, and for your follow-up comments St...Thanks Lionel, and for your follow-up comments Steve. Putting a separate tax on fully-insured group and individual medical plans (which most of them are in California) is a bad idea. <br /><br /> Even companies which have 500+ Employees do not always like to self-insure. The fully-insured PPO and HMO plans tend to be more balanced because they follow CA managed-care requirements; plans include high level catastrophic insurance coverage provisions, full legal employee disclosure through provided documents, and employee kits. There is also more reliance upon insurance carrier services (member, employer, critical illness, pharmacy review, claims, out-of-area connection, provider relations, legal). And, the employer having assured "hands-off" is a good policy too. <br /><br />With self-insured plans there's more need for efficient HR, accounting and legal Departments, bank account with reserves, monthly claims reconciliation, expected annual swings in cost, separate catastrophic insurance; more opportunities for things to go wrong, greater liability and risk to the employer. Self-insured employers use insurance carrier networks, some member services and general insurance carrier oversight. <br /><br />Of course, more clinics are needed to service the public, and many exist now. Anonymous may benefit from some of those services he listed, and "anger management" looks like its covered. Lois probably nailed his riddle, as did the ad hominem by Scotty. <br /><br />Being anonymous is sometimes more transparent than you might think. Comments, playing games and selecting heroes and anti-heroes are all clues. Steve has made thoughtful comments regarding the health care reform, and even if you don't agree targeting him for the sake of causing personal damage reflects more on you than him. Please join the conversation, rather than sitting on the sidelines sniping.Kathy Meehhttps://www.blogger.com/profile/14000878422176050692noreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-59543022609849872832010-01-18T21:52:04.087-08:002010-01-18T21:52:04.087-08:00Main Entry: wing nut
Function: noun
Date: circa 19...Main Entry: wing nut<br />Function: noun<br />Date: circa 1900<br />1 : a nut with wings that provide a grip for the thumb and finger<br />2 slang : a mentally deranged person<br />3 slang : one who advocates extreme measures or changes : radical<br /><br />You are really into the name-calling thing, aren't you, Steve? I cannot imagine which one you were trying to call me.Loishttps://www.blogger.com/profile/04561182838150666364noreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-91065757489520563812010-01-18T21:45:09.648-08:002010-01-18T21:45:09.648-08:00I guess that means there's lots of cowards.I guess that means there's lots of cowards.Steve Sinainoreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-30621303021506663262010-01-18T21:25:50.184-08:002010-01-18T21:25:50.184-08:00There's lots of us anonymousesThere's lots of us anonymousesAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-5589650650579828902010-01-18T21:06:05.744-08:002010-01-18T21:06:05.744-08:00Whether someone is willing to put their name behin...Whether someone is willing to put their name behind their statement speaks to how seriously the statement should be taken. It's very relevant. <br /><br />Mostly though, I just think it's cowardly to attack others while hiding behind "Anonymous" or a pseudonym. I have my guess as to who Anonymous is, and I believe he's more motivated by a personal grudge than anything else.Steve Sinainoreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-91788350330828546282010-01-18T20:13:18.213-08:002010-01-18T20:13:18.213-08:00The government wants total control? That's a w...The government wants total control? That's a wing-nut answer.Steve Sinainoreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-92033193129187919502010-01-18T19:52:23.162-08:002010-01-18T19:52:23.162-08:00I will answer for Anonymous. The government wants ...I will answer for Anonymous. The government wants total control.Loishttps://www.blogger.com/profile/04561182838150666364noreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-25920668369333987612010-01-18T19:26:26.469-08:002010-01-18T19:26:26.469-08:00Anonymous, if the government-run health clinics ar...Anonymous, if the government-run health clinics are so good and take care of all your health needs, why doesn't everyone use them? Why do people complain about the costs and difficulties of getting private health insurance if the government-run clinics are an option?<br /><br />Still afraid to use your real name, huh?Steve Sinainoreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-18269903889283235562010-01-18T19:03:51.636-08:002010-01-18T19:03:51.636-08:00in light of what Sinai said, I recall one of Don P...in light of what Sinai said, I recall one of Don Peebles' presentations where he showed the population growth of cities around Pacifica as being between 3% and 8%, while Pacifica's population decreased 3% over the last 20 years. Someone in front of us stood up and clapped. That was the last public event my wife was willing to attend in Pacifica.Jeffrey W Simonshttps://www.blogger.com/profile/00177874741526642177noreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-29287222997859042502010-01-18T18:59:38.690-08:002010-01-18T18:59:38.690-08:00Sinai really needs to improve his reading comprehe...Sinai really needs to improve his reading comprehension skills. Clearly, the HRSA site refers to comprehensive health care for all. Sinai's interpretation is self-serving and myopic. Fortunately for all of us, his opinion means nothing. Here it is again for those of you who choose to use your brains rather than your arse:<br /><i><br />Federally-funded health centers care for you, even if you have no health insurance. You pay what you can afford, based on your income. Health centers provide <br />•checkups when you're well<br />•treatment when you're sick<br />•complete care when you're pregnant<br />•immunizations and checkups for your children<br />•dental care and prescription drugs for your family<br />•mental health and substance abuse care if you need it<br />Health centers are in most cities and many rural areas.<br /></i><br /><br />I strongly recommend Sinai find a nearby center and get his brain and his eyes examined.<br /><br />And, of course, good job <b>again</b> on your anonymous comment posting hypocrisy, Sinai.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-35826198499654272922010-01-18T18:50:11.028-08:002010-01-18T18:50:11.028-08:00As a responsible working person, I can take care o...As a responsible working person, I can take care of myself and do not need to depend on the kindness of strangers to take care of me. It's called responsibilty, pride perhaps. Of course, if something happened where I was not able, perhaps I would be forced to rely on the welfare system. <br /><br />I have children who have had jobs, had medical insurance, lost jobs, have no medical insurance and thank God they are healthy. If something happened, there is Chope, SF General, clinics that they might be forced to go to. They cannot be denied medical help. Talk to any fireman. In an emergency, they are not asking for the person's medical insurance card.<br /><br />Would I prefer that my children have medical insurance? Yes, I would prefer that they had medical insurance. Will they buy medical insurance if they are forced to? No. They will pay whatever penalty that the Government can bleed from them.Loishttps://www.blogger.com/profile/04561182838150666364noreply@blogger.comtag:blogger.com,1999:blog-7481238059942383326.post-74891035753395325022010-01-18T18:36:24.705-08:002010-01-18T18:36:24.705-08:00I'd still like to hear from Lois as to why peo...I'd still like to hear from Lois as to why people buy health insurance if they can get free health care?<br /><br />And the link from Anonymous is for clinics that provide minimal, primary care. If I need a tb test, then maybe I'll use a government-run clinic. I can understand why Anonymous is afraid to put their name behind their statement.Steve Sinainoreply@blogger.com