Deleted
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Post by Deleted on Feb 12, 2012 20:39:22 GMT -5
That happens here too... lack of insurance leads to late diagnosis and lack of timely intervention... www.rwjf.org/files/research/brief2_en.pdfBTW milee... was thinking of you this week... son is just finishing reading Bloodsucking Fiends ...
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milee
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Post by milee on Feb 12, 2012 20:46:52 GMT -5
Hi, oped! Did the son like it?
Moore is coming out with a new one soon, can't wait.
Chuck Palahniuk (sp?)'s most recent reminds me of Moore as well. It's very tongue in cheek, written by a 13 year old who's in Hell and begins every chapter with, "Are you there, Satan? It's me, Madison." (Gotta love the Judy Blume reference!) Not appropriate for most kids, though. Very adult content.
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Deleted
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Post by Deleted on Feb 12, 2012 21:05:27 GMT -5
Yeah, he loved it... right up his alley... lol... i'll look up the Palahniuk and read it first ... Yeah, i know, 13 is probably young, but he likes that kind of stuff, he's been reading Sedaris for awhile and when i think back to what i was reading in my teens? And if he has questions, we'll talk...
I bought him Will Grayson, Will Grayson for Christmas, because it had good reviews, was recommended for his age group, and the tag was 'funny, rude and original'... (that about describes him and probably every other 13 year old boy on the planet)... I did not pre-read... and when he started talking about it, and the themes and the langauage, well, i thought, might as well introduce him to moore... lol...
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weltschmerz
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Post by weltschmerz on Feb 13, 2012 0:50:30 GMT -5
...American medical schools, which charge more (and sometimes significantly more) tuition than their Canadian counterparts. On average, it’s $38,000 per year in the States for med school, while here in Canada it’s closer to $15,000. But it’s still an interesting idea. oncampus.macleans.ca/education/20....free-in-canada/------------------------ It depends on the province, and it depends if you're a resident of that province. Sometimes it's much, much less. My niece's entire medical school costs came to about $27,000. McGill University Montreal, Quebec Prereqs: 1 year Biology, General Chemistry and Physics. ½ year of Organic Chemistry. All require laboratory components (in general, all schools require labs where appropriate). 2010/11 1st Year Tuition: $4,825 for Quebec residents; $13,224 for other Canadian residents; $37,705 for visa students; $2,553 incidental fees www.ivyglobal.ca/MCAT/med_schools_canada.asp
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weltschmerz
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Post by weltschmerz on Feb 13, 2012 0:54:24 GMT -5
And that, my friends, is why so many Canadian docs go to the US to practice. American doctors are justified in charging so much more because they have massive student loans to pay off. We don't like it, because we're subsidizing their educations with our tax dollars, and then they take off.
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weltschmerz
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Post by weltschmerz on Feb 13, 2012 1:05:56 GMT -5
The government (in general) gets the low scoring doctors & doctors from other countries that need a toe hold here to start practicing. That's just the way it is. ------------------------------- Oh, and just for the record, McGill is a top-notch medical school, so you're not getting second-rate doctors. Not from here, anyway. For the seventh year in a row, McGill University is ranked first in the Medical Doctoral category in the Maclean’s University Rankings, once again beating one-time king, the University of Toronto. Toronto, second again this year, has placed first in the category 12 times over the past 21 years. In third is the University of British Columbia. Queen’s is fourth. The University of Alberta is fifth. oncampus.macleans.ca/education/2011/10/26/macleans-2011-university-rankings-2/
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milee
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Post by milee on Feb 13, 2012 2:23:11 GMT -5
"We don't like it, because we're subsidizing their educations with our tax dollars, and then they take off. "
Yeah, that's not cool. Several of my good friends are Canadian docs that came down here for better pay. One has even sent a couple of his kids back to Canada just for med school for that very reason.
Maybe you can comfort yourself with the fact that this is unfair, just like it's unfair that we subsidize a huge portion of the prescription drug R&D that the rest of the world benefits from very cheaply.
Weltz, it's ironic you posted next because that Chuck Palahniuk book I just referenced is the only fiction novel I think I've ever seen the world "Weltzschmertz" used. He even used it twice!
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weltschmerz
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Post by weltschmerz on Feb 13, 2012 6:40:14 GMT -5
Weltz, it's ironic you posted next because that Chuck Palahniuk book I just referenced is the only fiction novel I think I've ever seen the world "Weltzschmertz" used. He even used it twice! ------------------------ It's not that uncommon a word, and seems to have found its way into the American lexicon, much like the German "schadenfreude". I've even seen it used on "The Bing Bang" show.
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jkapp
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Post by jkapp on Feb 13, 2012 9:16:22 GMT -5
Would it surprise you if I told you I think the only solution for poor people is universal healthcare? It would certainly improve their medical access. ----------------- Universal healthcare only works if EVERYONE pays into it. yet the democrats won't allow EVERYONE to pay into, now will they? If they make some of their supporters pay, then it would go against their motto of giving everything to the poor for "free."
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workpublic
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Post by workpublic on Feb 13, 2012 9:32:47 GMT -5
what do you call the person who ranked last in their medical school class?
Doctor. ;-)
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Deleted
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Post by Deleted on Feb 13, 2012 9:51:20 GMT -5
I agree that is one of the problems. I think everyone should pay in, except low income children... they should get free care because they can't be expected to pay in themselves and unfortunately too many have parents who would not co-pay for them. I also think certain proven preventative measures should be cost free for the same reason. Otherwise, EVERYONE should have to pay some kind of premium and some kind of co-pay, to encourage contientious usage and give everyone a stake...
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humok
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Post by humok on Feb 13, 2012 10:21:45 GMT -5
My Doctor sold his practice and moved to New Zealand last year.
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jkapp
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Post by jkapp on Feb 13, 2012 10:24:53 GMT -5
My Doctor sold his practice and moved to New Zealand last year. Was he retiring or did he move his practice there? Either way, that's a hell of a move - I couldn't imagine the plane trip for a vacation much less an entire relocation
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humok
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Post by humok on Feb 13, 2012 10:32:31 GMT -5
He made comment that his children were grown and out of college and he did not like the way the country was going and he and his wife were becoming citizens of New Zealand. He was 57 last year. He sold his practice here and I am sure he started another practice there. I would bet if you had a way of checking there have been more to leave. I read an article this am where the rich are buying citizenship in small countries in preparation to what they see coming with respect to our economy.
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Deleted
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Post by Deleted on Feb 13, 2012 10:36:39 GMT -5
New Zealand has essentially a two tiered health care plan... The primary coverage is public, with a second tier available for better coverage to those who can afford it... what i'd love to see done here...
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jkapp
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Post by jkapp on Feb 13, 2012 11:29:40 GMT -5
New Zealand has essentially a two tiered health care plan... The primary coverage is public, with a second tier available for better coverage to those who can afford it... what i'd love to see done here... Interesting idea, but how would it work? Would the hospitals and doctors have two sets of ways to treat each illness? And I doubt it would fly in this country...it wouldn't take long before the people purely on the public plan would complain how "unfair" it was that the wealthier people received better care - even though they paid for it. So the government would then subject the wealthy people's premiums to a surcharge to supplement a better public plan - but only for the really poor. That's unforunately how our f'ed up country operates these days.
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cme1201
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Post by cme1201 on Feb 13, 2012 11:32:17 GMT -5
New Zealand has essentially a two tiered health care plan... The primary coverage is public, with a second tier available for better coverage to those who can afford it... what i'd love to see done here... Interesting idea, but how would it work? Would the hospitals and doctors have two sets of ways to treat each illness? And I doubt it would fly in this country...it wouldn't take long before the people purely on the public plan would complain how "unfair" it was that the wealthier people received better care - even though they paid for it. So the government would then subject the wealthy people's premiums to a surcharge to supplement a better public plan - but only for the really poor. That's unforunately how our f'ed up country operates these days. Wait, your saying this isn't how our country works now?
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billisonboard
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Post by billisonboard on Feb 13, 2012 11:38:47 GMT -5
... I read an article this am where the rich are buying citizenship in small countries in preparation to what they see coming with respect to our economy. Any American who treats citizenship as a commodity is welcome to leave.
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Deleted
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Post by Deleted on Feb 13, 2012 12:03:09 GMT -5
A two tiered system is very viable. Primary and preventative care provided thorugh a central public program which employs proven methods which are shown to provide adequate results in a cost effective measure. Then, if you want, and can afford above and beyond, then you may pay for that yourself, belong to a boutique type doctors office, or purchase second tier insurance which may provide a different standard of care.
As far as how to get doctors to practice both kinds of medicine. Well... even now doctors don't generally opt out of medi... even when reimbursements are low... given that they need the quantity of patients not just quality... Also, i'd love to see med school public, and you 'pay off' your tuition through service... and if you accept any kind of public reimbursement, then you need to provide a set percentage of services to the public care structure. I would be more for Canada type universal health care, which is evoliving into this, and New Zealand, which effectively has it... than the European type universal health care where doctors are employed by the fed directly (ilke the VA)...
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safeharbor37
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Post by safeharbor37 on Feb 14, 2012 13:15:46 GMT -5
There are a lot of ways better than the 2700 page monstrosity we have now. Public universities and colleges should provide a means for any deserving student to afford to go. That used to be the case before the Federal Government started "subsidizing" higher education. Some day people will realize that government "subsidies" only increase the cost of whatever is "subsidized." ........Naaah, they won't.
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Post by The Walk of the Penguin Mich on Feb 14, 2012 13:32:27 GMT -5
i'd love to see med school public, and you 'pay off' your tuition through service... and if you accept any kind of public reimbursement, then you need to provide a set percentage of services to the public care structure.
They already have this and it does not work. US med schools have a program where if you practice in historically medically underserved areas for a certain period of time, your med school loans are forgiven.
It's been a failure and not just due to $$. The failure is largely due to the fact that when a physician is sent to one of these underserved areas, they have no professional support in the area. They do not have the ability complete their continuing education credits. If they have families, many times the education systems are substandard and making sure that their kids are keeping up with their peers in schools where they *should* be is impossible due to lack of local resources.
It's not always about the money. The physician that I knew that bailed from this program found that the deficits of doing this were very difficult to overcome and she was not unusual.
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Deleted
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Post by Deleted on Feb 14, 2012 14:01:54 GMT -5
My Doctor sold his practice and moved to New Zealand last year. Hope he's not a podiatrist. Hobbit feet are gross.
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floridayankee
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Post by floridayankee on Feb 14, 2012 15:07:24 GMT -5
I agree that is one of the problems. I think everyone should pay in, except low income children... they should get free care because they can't be expected to pay in themselves and unfortunately too many have parents who would not co-pay for them. If I provide inadequate care for my pet, that pet is taken from me. After repeated abuse, a judge can remove my right to own a pet. It's a crying shame that we protect pets better than kids. If 'I' being forced to pay for 'your' preventative care, can 'I' also demand that 'you' quit eating big macs, smoking cigarettes, consuming alcohol, or lounging around on the couch instead of exercising? Them things are horrible for you.
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formerexpat
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Post by formerexpat on Feb 14, 2012 23:08:51 GMT -5
At a minimum, I want a card from the people I support in this country like you get when you support an African child. At least they send me a damn letter.
Ungrateful Americans...
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