Noam Chomsky On Health Care

Noam Chomsky on Health Care, April 7, 2009.

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News & Politics

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• Noam Chomsky on Health Care
• April 7

[bebop54]

great upload ..

thanks man !

[jjrglobal]

@rickbar123

Where I live we are starting to see clinics that are cash only, no insurance, and it costs $25 per office visit. Sound like prices are falling to you now? Prices fall when there is competition

[rickbar123]

@jjrglobal I do not see prices droping. Dental care is a good example. In Phila, Pa. we now have cash dental offices in every mall. Walk in and pay cash for care. It's strange how everybody has the same prices. Docs are not stupid, prices will be set and no doc will undercut another doc. Prices only plummet when the providers are stupid. They are not stupid.

[jjrglobal]

@rickbar123

But do you really understand the system well enough to make that claim? The answer is health savings accounts that you control. Buy a catastrophic policy with a $10000 deductible and put 10k into a savings account with the savings from not buying health ins. Pay as you go for small stuff, regular dr's visits etc out of the health savings account. Paying cash to dr's will allow competition between them and prices will plummet. As it is now, the worst Dr gets paid as much as the best

[rickbar123]

@jjrglobal Sorry, I want a single payer system.

[rickbar123]

@jjrglobal I like what we have now. Smaller community hospitals with large centers for research and training. I must tell you- I am a hard core socialist. I would like to see America adopt German style social democratic government (it's really our system, our Generals put it in place post WW2). I would never trust the free market and the CEOs. I rather see lots of regulations with strong inforcement , standard across all hospitals than less regs.

[rickbar123]

@jjrglobal I hear the docs bitch all of the time. I once walked into a OR during a surgery while a doc was going off on the payment problems he was having with a new COO. He tossed a large hemostat at the door while I was walking in.

[jjrglobal]

Do you agree that there should be different classes of hospitals just as there are motels? With the regulations the gov has to open a hospital, they all must be the Ritz Carlton, but everyone cant afford to stay at the Ritz and the government wont allow anything less. The free market would allow for a wide range of hospitals from luxurious to dumps, but if people were responsible for the costs they could choose which place they wanted to stay. The dr's would be the same from hospital to hospital

[jjrglobal]

@rickbar123

Where you aware of the hospitals getting reimbursed whatever they charge and the doctors getting reimbursed whatever the ins co's decide the cpt code is worth? Dr 's cant bill the patients the difference either. People say, well you dont have to sign the contract with the ins co's, but if you dont you lose your patient base. BCBS drops their reimbursement every year, but they ins 40% of the people in our state, who can afford to lose 40% of their patient base?

[rickbar123]

@jjrglobal I hear ya, its nuts.