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ObamaCare One payer System

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    Posted: Aug 03 2009 at 10:27am
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Post Options Post Options   Thanks (0) Thanks(0)   Quote wasteful Quote  Post ReplyReply Direct Link To This Post Posted: Aug 03 2009 at 10:30am

Patients forced to live in agony after NHS refuses to pay for painkilling injections

Tens of thousands with chronic back pain will be forced to live in agony after a decision to slash the number of painkilling injections issued on the NHS, doctors have warned.

 

By Laura Donnelly, Health Correspondent
Published: 7:45AM BST 02 Aug 2009

 
Cuts to treatments would save the NHS £33 million. Photo: ANDREW CROWLEY

The Government's drug rationing watchdog says "therapeutic" injections of steroids, such as cortisone, which are used to reduce inflammation, should no longer be offered to patients suffering from persistent lower back pain when the cause is not known.

Instead the National Institute of Health and Clinical Excellence (NICE) is ordering doctors to offer patients remedies like acupuncture and osteopathy.

Specialists fear tens of thousands of people, mainly the elderly and frail, will be left to suffer excruciating levels of pain or pay as much as £500 each for private treatment.

The NHS currently issues more than 60,000 treatments of steroid injections every year. NICE said in its guidance it wants to cut this to just 3,000 treatments a year, a move which would save the NHS £33 million.

But the British Pain Society, which represents specialists in the field, has written to NICE calling for the guidelines to be withdrawn after its members warned that they would lead to many patients having to undergo unnecessary and high-risk spinal surgery.

Dr Christopher Wells, a leading specialist in pain relief medicine and the founder of the NHS' first specialist pain clinic, said it was "entirely unacceptable" that conventional treatments used by thousands of patients would be stopped.

"I don't mind whether some people want to try acupuncture, or osteopathy. What concerns me is that to pay for these treatments, specialist clinics which offer vital services are going to be forced to close, leaving patients in significant pain, with nowhere to go,"

The NICE guidelines admit that evidence was limited for many back pain treatments, including those it recommended. Where scientific proof was lacking, advice was instead taken from its expert group. But specialists are furious that while the group included practitioners of alternative therapies, there was no one with expertise in conventional pain relief medicine to argue against a decision to significantly restrict its use.

Dr Jonathan Richardson, a consultant pain specialist from Bradford Hospitals Trust, is among more than 50 medics who have written to NICE urging the body to reconsider its decision, which was taken in May.

He said: "The consequences of the NICE decision will be devastating for thousands of patients. It will mean more people on opiates, which are addictive, and kill 2,000 a year. It will mean more people having spinal surgery, which is incredibly risky, and has a 50 per cent failure rate."

One in three people are estimated to suffer from lower back pain every year, while one in 15 consult their GP about it. Specialists say therapeutic injections using steroids to reduce inflammation and other injections which can deaden nerve endings, can provide months or even years of respite from pain.

Experts said that if funding was stopped for the injections, many clinics would also struggle to offer other vital services, such as pain management programmes and psychotherapy which is used to manage chronic pain.

Anger among medics has reached such levels that Dr Paul Watson, a physiotherapist who helped draft the guidelines, was last week forced to resign as President of the British Pain Society.

Doctors said he had failed to represent their views when the guidelines were drawn up and refused to support the letter by more than 50 of the group's members which called for the guidelines to be withdrawn.

In response, NICE chairman Professor Sir Michael Rawlins expressed outrage over the vote that forced Dr Watson from his position, describing the actions of the society as "shameful". He accused pain specialists of refusing to accept that there was insufficient scientific evidence to support their practices.

A spokesman for NICE said its guidance did not recommend that injections were stopped for all patients, but only for those who had been in pain for less than a year, where the cause was not known.

Iris Watkins, 80 from Appleton, in Cheshire said her life had been "transformed" by the use of therapeutic injections every two years. The pensioner began to suffer back pain in her 70s. Four years ago, despite physiotherapy treatment and the use of medication, she had reached a stage where she could barely walk.

"It was horrendous, I was spending hours lying on the sofa, or in bed, I couldn't spend a whole evening out. I was referred to a specialist, who decided to give me a set of injections. The difference was tremendous",

Within days, she was able to return to her old life, gardening, caring for her husband Herbert, and enjoying social occasions.

"I just felt fabulous – almost immediately, there was not a twinge. I only had an injection every two years, but it really has transformed my life; if I couldn't have them I would be in despair".

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MUSA Citizen
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Post Options Post Options   Thanks (0) Thanks(0)   Quote wasteful Quote  Post ReplyReply Direct Link To This Post Posted: Aug 03 2009 at 11:10am
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Hermes Quote  Post ReplyReply Direct Link To This Post Posted: Aug 03 2009 at 12:37pm
I've talked to Canadians & British people who have used their countries universal healthcare and it is painfully slow. It pays everything,or everything they allow it to pay,but you might wait 6 months for an xray,a year for an MRI,3-5 days to get treatment if it's not an emergency. The only thing it does is it gives the government total control. It's a lousy system and if it passes we are all in big,big trouble.
No more democrats no more republicans,vote Constitution Party !!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lrisner Quote  Post ReplyReply Direct Link To This Post Posted: Aug 03 2009 at 12:59pm
Originally posted by Hermes Hermes wrote:

I've talked to Canadians & British people who have used their countries universal healthcare and it is painfully slow. It pays everything,or everything they allow it to pay,but you might wait 6 months for an xray,a year for an MRI,3-5 days to get treatment if it's not an emergency. The only thing it does is it gives the government total control. It's a lousy system and if it passes we are all in big,big trouble.


I agree Bamy's plan sucks, but if someone has no Insurance and little money, they would rather wait a year for an MRI as to never get one. That is what is wrong with his debate. The bashers just want to tells how bad the Dem Plan is without any reasonable alternative plans. The Rep plans so far have been unreasonable.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote wasteful Quote  Post ReplyReply Direct Link To This Post Posted: Aug 03 2009 at 4:32pm
Irisner last I heard the Reps, weren't even allowed at the table to discuss this mess kind of hard to have a plan or get you ideas or comments across in the current atmosphere. 
 
 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote wasteful Quote  Post ReplyReply Direct Link To This Post Posted: Aug 03 2009 at 4:40pm
House GOP Solutions Group Outlines Health Care Plan

to Increase Affordability, Accessibility, Availability

Commonsense Health Care Reform to Lower Costs and Increase

Access and Quality at a Price Our Country Can Afford

Republicans believe there are a number of potential areas for common ground to work

with President Obama to improve health care for all Americans. Republicans are

promoting commonsense reforms that make health care more affordable, reduce the

number of uninsured Americans, and increase quality at a price our country can afford---

while making sure that Americans who like their health care coverage can keep it.

The House Republican Health Care Solutions Group has been working for months on a

plan, listening to the American people, talking to doctors and patients, collecting input,

and studying and debating ideas. This process has resulted in the broad outline of a health

care reform plan that the solutions group hopes will receive bipartisan support.

The health care reforms outlined are designed to:

1. Make quality health care coverage affordable and accessible for every American,

regardless of pre-existing health conditions.

2. Protect Americans from being forced into a new government-run health care plan

that would: a) eliminate the health care coverage that more than 100 million

Americans currently receive through their job; b) limit your choice of doctors and

medical treatment options; and c) result in the federal government taking control

of your health care.

3. Let Americans who like their health care coverage keep it, and give all Americans

the freedom to choose the health plan that best meets their needs.

4. Ensure that medical decisions are made by patients and their doctors, not

government bureaucrats.

5. Improve Americans’ lives through effective prevention, wellness, and disease

management programs, while developing new treatments and cures for lifethreatening

diseases.

Making Health Care More Affordable for All Americans:

More Americans will gain access to quality health care once its costs are brought under

control. The first step in lowering health care costs is to eliminate the unnecessary overspending

in our current system.

Doctors order unnecessary tests to avoid being sued and every insurance company has its

own codes and forms patients and doctors need to fill out. The Chief Counsel to the

Health and Human Services Inspector General even went so far as to say that “building a

Medicare fraud scam is far safer than dealing in crack or dealing in stolen cars, and it’s

far more lucrative.”

To lower the costs of health care, the Republican plan:

Brings greater fairness to the tax code by extending tax savings to those who

currently do not have employer-provided insurance but purchase health insurance on

their own. This provision would provide an “above the line” deduction that is equal

to the cost of an individual’s or family’s insurance premiums.

Provides immediate substantial financial assistance, through new refundable and

advanceable tax credits, to low- and modest-income Americans.

Recognizes that many Americans who have not yet hit retirement age but may be

changing jobs or have lost a job often face higher health care costs. To help those

aged 55 to 64, the plan increases support for pre- and early-retirees with low- and

modest-incomes.

Recognizes that one of the largest obstacles for many small businesses when it comes to

retaining current employees or creating new jobs is the cost of health insurance. The

plan allows states, small businesses, associations, and other organizations to band

together and offer health insurance at lower costs.

Implements comprehensive medical liability reform that will reduce costly,

unnecessary defensive medicine practiced by doctors trying to protect themselves

from overzealous trial lawyers.

Provides Medicare and Medicaid with additional authority and resources to stop

waste, fraud, and abuse that costs taxpayers billions of dollars every year.

Creates incentives to save now for future and long-term health care needs by

improving health savings accounts and flexible spending arrangements as well as

creating new tax benefits to offset the cost of long-term care premiums.

Gives financial help to caregivers who provide in-home care for a loved one.

Making Health Care More Available & Accessible for All Americans:

The Republican plan reduces the number of uninsured Americans by wisely targeting this

population and helping Americans keep health care coverage regardless of a change in or

loss of a job.

To expand availability and accessibility of health care coverage, the Republican

plan:

Makes it easier for Americans to keep health care coverage regardless of a change in

or loss of a job.

Encourages states to create a Universal Access Program by establishing and/or

reforming existing programs to guarantee all Americans, regardless of pre-existing

conditions or past illnesses, have access to affordable coverage.

Strengthens employer-provided health coverage by helping the 10 million uninsured

Americans who are eligible, but not enrolled in, an employer-sponsored plan get

health care coverage. The plan does this by encouraging employers to move to optout,

rather than opt-in rules.

Helps employers offer health care coverage to their workers by reducing their

administrative costs through a new small business tax credit.

Recognizes that not all high school and college graduates are able to find a job that

offers health care coverage after graduation. By allowing dependents to remain on

their parents’ health policies up to the age of 25, the number of uninsured Americans

could be reduced by up to 7 million.

Provides flexibility to Medicaid and SCHIP beneficiaries by allowing them to apply

the value of their benefit to a health plan that better meets their needs than the onesize-

fits-all government program.

Promoting Healthy Living and Quality Care for All Americans Now and

Tomorrow:

Innovations in treatment and access to quality health care information are critical to

ensuring Americans receive the best possible care. It’s no secret that patients in other

countries are often denied care or die waiting to get access to the top treatments.

To promote prevention and wellness while ensuring every American has access to

high quality health care, the Republican plan:

Promotes prevention and wellness by giving employers and insurers greater flexibility

to financially reward employees who seek to achieve or maintain a healthy weight,

quit smoking, and manage chronic illnesses like diabetes.

Rewards high-quality care, instead of encouraging health care providers to order more

and unnecessary services.

Uses new and innovative treatment programs to better coordinate care between health

care providers, ensuring that those with chronic disease receive the care they need and

do not continue to fall through the cracks.

Encourages the creation of health plan finders to provide patients with the tools to

easily find the right health plan that best meets their needs.

Gives patients access to health care information so that they can identify and select

health care providers who deliver high-quality care at a lower cost.

Makes health care more convenient by eliminating bureaucratic red tape to expand

access to Community Health Centers that are so critical to underserved areas, both in

large cities and in rural America.

Encourages home care and independence for patients rather than forcing individuals

into institutionalized settings.

Promotes seniors' access to the doctors they need by modernizing Medicare

reimbursements.

Provides incentives to physicians who enter the field of primary care, helping to

ensure all Americans have access to the doctors they need.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote lrisner Quote  Post ReplyReply Direct Link To This Post Posted: Aug 03 2009 at 5:42pm
Thank You. I am so stupid that I could have never found the GOP plan if not for you!


Now,YOU should read it. Tell me SPECIFICALLY what is in there besides statements that generalize.

It does nothing to help those without Cash! If you have money in our Society, you have no urgent Issues about the Health Care system as it stands. The free Market is wonderful about supplying what ever is needed to those who can pay!

How does GOP Plan deal with that? What does it do for some couple both working minimum wage and barely getting by? Why, the GOP is generous and will let them set money aside TAX FREE for medical Issues. Wonderful....now if they only had some money to set aside.


Geeez, get a grip and please don't cut and paste again. It offends me !
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Post Options Post Options   Thanks (0) Thanks(0)   Quote wasteful Quote  Post ReplyReply Direct Link To This Post Posted: Aug 03 2009 at 8:58pm
Hey Irisner I could really give a $h*t if you are offended and no one asked to read it anyway, I realize it was a lot to read.Big%20smile  You and your liberal, "oh we got to save the world and pay for everyones Healthcare, Housing, Kids, Welfare, food and Illegally entering the country are what is wrong with this country.   People like you really Offend me and the American way of life, best bet for you is to get your family together and drive North about 400 miles and there everyone gets :
 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote wasteful Quote  Post ReplyReply Direct Link To This Post Posted: Aug 03 2009 at 9:01pm
Cut and Paste for irisner:
 
LOL
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Post Options Post Options   Thanks (0) Thanks(0)   Quote wasteful Quote  Post ReplyReply Direct Link To This Post Posted: Aug 03 2009 at 9:07pm
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lrisner Quote  Post ReplyReply Direct Link To This Post Posted: Aug 03 2009 at 9:31pm
Typical answer for a uninformed moron. I have never in my life voted for a democrat. I am angry because the GOP laid back and ignored issues long enough hat there was a backlash at the polls. We got Obamy as a result!

As to the Plan, unless you are too ignorant to read, you will see that I stated "I agree Bamy's plan sucks" I just realize there is a Health care problem. The GOP has offer nothing that will satisfy the Masses.

I have my own Plan fully funded for the rest of my Life and don't need any Medical from anyone.

Now, go drink some more Rush Kool Aid and get a little dumber!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote wasteful Quote  Post ReplyReply Direct Link To This Post Posted: Aug 04 2009 at 4:18am
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Post Options Post Options   Thanks (0) Thanks(0)   Quote wasteful Quote  Post ReplyReply Direct Link To This Post Posted: Aug 04 2009 at 4:33am
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Post Options Post Options   Thanks (0) Thanks(0)   Quote wasteful Quote  Post ReplyReply Direct Link To This Post Posted: Aug 04 2009 at 4:38am

Why That 48 Million Uninsured Number is Wrong

A March 31 AP article entitled “Sebelius calls for action now on health care” repeats the claim, pushed by proponents of government run health care, that there are “48 million uninsured Americans”.

Numbers in the 40-million range regularly used by proponents of health care “reform” are based on reports from the Census Bureau which show, for example, over 45 million people “not covered” in 2007. However, these numbers are extremely misleading for several reasons, and the difference is critical not simply as a debating point but as a context for appropriate government policy changes.

  • The Census Bureau itself says that “Health insurance coverage is likely to be underreported…” (See Appendix C of THIS report) For example, “16.9 percent of people with an MSIS record indicating Medicaid coverage reported…that they were uninsured.”
  • According to Sally Pipes of the Pacific Research Institute, “as many as 12 million uninsured Americans are eligible for Medicaid and the State Children’s Health Insurance Program–but they haven’t signed up.”
  • More than half of the uninsured are between 18 and 34 years of age, a group which has relatively few expensive health issues and for whom self-insuring (paying their own medical bills) makes sense. Only 14% of people over the age of 55 are uninsured.
  • Over 9 million of the “uninsured” have household incomes over $75,000.
  • Roughly 30% of the uninsured are without insurance for less than 6 months (though this statistic will likely worsen during the current recession).
  • And finally, estimates are that between 7.5 million to over 10 million of the uninsured (15% of them or more) are illegal immigrants.

The number of chronically uninsured people who would prefer to have insurance but can’t afford it is likely 10-12 million people, or one quarter of the number often repeated by the media. Reporters who cite the 48 million number without providing a full context do their readers a great disservice.

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