Why can't the market deliver healthcare at a low cost?

Lowered carb diet has been a staple of diabetic teaching for some time

 

I'm not sure I buy that report. There are a lot of fudge factors. But even so it can't keep up with not having insurance.

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Nearly 45,000 annual deaths are associated with lack of health insurance, according to a new study published online today by the American Journal of Public Health. That figure is about two and a half times higher than an estimate from the Institute of Medicine (IOM) in 2002.

The study, conducted at Harvard Medical School and Cambridge Health Alliance, found that uninsured, working-age Americans have a 40 percent higher risk of death than their privately insured counterparts, up from a 25 percent excess death rate found in 1993.

“The uninsured have a higher risk of death when compared to the privately insured, even after taking into account socioeconomics, health behaviors, and baseline health,” said lead author Andrew Wilper, M.D., who currently teaches at the University of Washington School of Medicine. “We doctors have many new ways to prevent deaths from hypertension, diabetes, and heart disease — but only if patients can get into our offices and afford their medications.”

The study, which analyzed data from national surveys carried out by the Centers for Disease Control and Prevention (CDC), assessed death rates after taking into account education, income, and many other factors, including smoking, drinking, and obesity. It estimated that lack of health insurance causes 44,789 excess deaths annually.

https://news.harvard.edu/gazette/st...s-annually-linked-to-lack-of-health-coverage/

 

no, sadly it's been medication... but that is starting to change, which is a good thing - yes some doctors were and are ahead of the curve when it comes to recommending low carb for cancer and diabetes

 

Sorry, lowered carb diet and exercise was being taught in med schools 25 years ago

 

looks like this year is the first year it's starting to change - great news

"Low Carb Diet in 2019 American Diabetes Association Standards of Care"

https://www.lchf-rd.com/2018/12/18/...rican-diabetes-association-standards-of-care/

"On Monday, December 17, 2018, the American Diabetes Association released its new 2019 Standards of Medical Care in Diabetes including its Lifestyle Management Standards of Care which includes use of a low carbohydrate diet saying it may result in lower blood sugar levels and also has the potential to lower the use of blood sugar lowering medications[1] in those with Type 2 Diabetes. In support, they cite the one-year study data by Virta Health[2], as well as two other studies [3,4]."

yes, some have been against high carb sense the debate between fat and sugar... but sadly fat won that war back then - course need to stay away from seed oils and trans fats

 

The insurance model may indeed be outdated, but with direct primary care, patients can buy there own medical care, for low cost in a free market. The patient-physician relationship would be back, and innovation would spur. Just imagine, if we had competing lines around states, lower regulations, axing of monopolies and corporatism. New firms would be created, and over time as they compete, healthcare costs would go down and be easily affordable. In some places in the US, you can get healthcare for less than a monthly cell phone bill. Just imagine, if this was under a competitive environment and not a crony capitalist one. Costs would go down further. This video explains it well.

 

Who's the American Diabetes Association?

Every single doctor passes biochem and knows exactly what happens after the ingestion of simple carbohydrates. They also know about hyperinsulinemia and insulin insensitivity.
Minimizing exogenous carbohydrates has been taught in med school for years

 

That model is nice if you never need care not provided in a doctors office. Then it falls apart. It's actually quite expensive for the services provided.

Edit:
But there is money to be saved by only having Medicare paperwork and not 50 different insurance companies.

 

Theres money to be saved by stealing other peoples labor. Since you are volunteering physicians to have an income reduction, to pay for the system you want, are you volunteering yourself for an income reduction as well? We all have to do our part you know

 

I call reducing paperwork efficiency not theft.

 

they just got around to updating it as the link above showed, but yes, many doctors were ahead of the curve

and of course in the old days that was definitely the recommended course of action, not sure why it ever changed, guess they thought medicine was good enough

 

yes, so every diabetes patient that was not recommend a low carb diet should be able to sue... course Bush put a 3 year limit on suing

regardless, just glad we agree, low carb is best for people with diabetes and cancer

 

Debateable.

"The usual talking point single-payer advocates trot out when asked about this goes thus: According to OECD, health care in the U.S. costs about twice what Canadians pay.

Let’s start with how much Canadians actually pay. The OECD arrives at its figures by the hopelessly simplistic method of dividing a nation’s total health care expenditure by its population. Thus, Canadians pay about $5,500 a head while we pay a little over $10,000 apiece for our system. But these figures are meaningless to actual Canadian families. What matters to them is how much they pay for coverage, via taxation. The Fraser Institute, a non-partisan think tank based in British Columbia, reports that the average two-adult family pays more than $12K annually. And it gets worse:

Between 1997 and 2017, the average Canadian family’s cash income increased by 96.6%.… Over that two decades, the cost of health care insurance for the average Canadian family (all family types) increased by 173.6%."



"For the average Canadian family, between 1997 and 2017, the cost of public health care insurance increased 3.2 times as fast as the cost of food, 2.7 times as fast as the cost of clothing, 1.9 times as fast as the cost of shelter, and 1.8 times faster than average income.

Here’s how the cost of coverage increased by family type:

• 78.2% for the average family consisting of 2 adults and no children (from $6,893 to $12,283);

• 74.7% for the average family consisting of 2 parents and 1 child (from $7,103 to $12,410);

• 68.6% for the average family consisting of 2 parents and 2 children (from $7,152 to $12,057);

• 102.0% for the average unattached individual (from $2,276 to $4,596);

• 122.6% for the average family consisting of 1 parent and 1 child (from $2,108 to $4,693);

• 93.8% for the average family consisting of 1 parent and 2 children (from $2,061 to $3,994).

And, like all social democracies, Canada punishes success. If your family is fortunate enough to fall in the top 10 percent of income earners, the bill for coverage is $39,123. Our soi-disant social justice warriors below the 49th parallel would most likely write this off as “taxing the rich.” But the average income of this decile is $292,063. Few of these folks will be shopping for houses near David Thomson’s shack. Nonetheless, their tax bill is $166,575 (57 percent). But not to worry, not all of the taxes go to health care. It only costs the average Canuck 23.5 percent of that to get on a waiting list:

In order to more precisely estimate the cost of public health care insurance for the average Canadian family in 2017, we must determine how much tax an average family pays to all levels of government and the percentage of the family’s total tax bill that pays for public healthcare insurance. In 2016/17, an estimated 23.5% of tax revenues (income) was spent on health care."

https://spectator.org/how-much-do-canadians-really-pay-for-health-care/

 

Ho ho

 

You mean like this?

 

He he , ho ho. Insurance companies have got to go.

 

Good point. Why are these liberal colleges charging such exorbitant rates to brainwash our youth?

 

Good question.
My guess is that business now places such a high value on education that you need to buy it.
Where do you buy it? College.
Another case of price fixing.

 

My guess is these bastions of socialism are actually money making machines for colleges and the elites in them.

 

It should be noted that you are citing the perspective of a source that promotes a blatant ideological agenda.

The parasites who profit admirably off the bloated inefficiency and hardcore ideologues for whom dogma trumps data seek to perpetuate the dismal status quo, but soaring costs make it unsustainable.

As a pragmatic matter, the empirical reality is undeniable.

Americans are forced to pay considerably more for an inferior product.

https://www.internationalinsurance.com/health/systems/

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Advanced democratic nations have all arrived at some variation on the same demonstrably more successful paradigm - as well as having actually achieved all of Trump's stated goals:

“We’re going to have insurance for everybody!...
Much less expensive and much better!”
TOWNHALL, Jan 16, 2017​

 

Thought by now you could discuss the most basic aspects of your study. Guess not.

 

Expand the existing structure of Medicare that covers 60,000,000 Americans by incrementally incorporating less costly age demographics until the Trump-stated-goal of universal coverage is achieved.

Allow the option of private insurance for anyone who prefers it - but without the current taxpayer subsidies for employer-administered plans - saving the taxpayer billions.(The largest tax subsidy for private health insurance — the exclusion from income and payroll taxes of employer and employee contributions for employer-sponsored insurance (ESI) – was estimated to cost approximately $250 billion in lost federal tax revenue in 2013.)

If the profiteers can maintain their astronomical executive salaries, agency commissions, advertising and marketing budgets, profit margins, etc. and still be competitive, why not let them?

And, if anyone desires to pay far more, why not let them?

 

And you're willing to work for less, right?

 

I know it's a very inefficient system. If I was made healthcare czar, I would very quickly put myself out of a job by getting the government entirely out of the health care business. Your idea goes the opposite route.

So you go to your state government and tell them your idea, I'll go to the federal government and tell them my idea, and if everybody listens, we both get what we want. That's a win-win in my book.

 

I don't work.