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March 9, 2010 at 6:50 PM in reply to: OT: Health Care in Mexico vs. U.S. (related to “Father is visiting and hospitalized…”) #523601equalizerParticipant
[quote=Rich Toscano]This conversation reminds me of a great article I read a while back about the problem with US healthcare.
http://www.theatlantic.com/magazine/archive/2009/09/how-american-health-care-killed-my-father/7617/
(Ignore the lame title, for which some magazine editor should be fired).
As I recall, the author makes a compelling case that it is the “comprehensive insurance” model that is the root of the problem, because the “customer” is not the actual patient but the insurance company, medicare, etc. This puts all kinds of distorted incentives into the system and reduces efficiency.
What’s interesting is that as far as I can tell (and I admit I’m not too punched in), most of the debate right now centers around who should pay. And this is an important question, but I think the better question to address first would be that of what we are paying for. Clearly, as davelj’s stats show, we are paying more and getting less. There is a reason behind that that needs to be fixed, and simply shifting the payment from one party to another won’t do it.
I’m probably not doing the article justice. I highly recommend it.
Rich[/quote]
Rich,
I quoted the great article back here in Oct 09.
http://piggington.com/healthcare_yes_this_subject_againBusinessweek has an article about end of life care and breakdown of costs. “The bills for his seven years of medical care totaled $618,616, almost two-thirds of which was for his final 24 months.”
Here’s the general conversation with most people with good insurance: “I’ve got great coverage, let the SOBs eat cake or go to TJ, etc”
March 9, 2010 at 6:50 PM in reply to: OT: Health Care in Mexico vs. U.S. (related to “Father is visiting and hospitalized…”) #523738equalizerParticipant[quote=Rich Toscano]This conversation reminds me of a great article I read a while back about the problem with US healthcare.
http://www.theatlantic.com/magazine/archive/2009/09/how-american-health-care-killed-my-father/7617/
(Ignore the lame title, for which some magazine editor should be fired).
As I recall, the author makes a compelling case that it is the “comprehensive insurance” model that is the root of the problem, because the “customer” is not the actual patient but the insurance company, medicare, etc. This puts all kinds of distorted incentives into the system and reduces efficiency.
What’s interesting is that as far as I can tell (and I admit I’m not too punched in), most of the debate right now centers around who should pay. And this is an important question, but I think the better question to address first would be that of what we are paying for. Clearly, as davelj’s stats show, we are paying more and getting less. There is a reason behind that that needs to be fixed, and simply shifting the payment from one party to another won’t do it.
I’m probably not doing the article justice. I highly recommend it.
Rich[/quote]
Rich,
I quoted the great article back here in Oct 09.
http://piggington.com/healthcare_yes_this_subject_againBusinessweek has an article about end of life care and breakdown of costs. “The bills for his seven years of medical care totaled $618,616, almost two-thirds of which was for his final 24 months.”
Here’s the general conversation with most people with good insurance: “I’ve got great coverage, let the SOBs eat cake or go to TJ, etc”
March 9, 2010 at 6:50 PM in reply to: OT: Health Care in Mexico vs. U.S. (related to “Father is visiting and hospitalized…”) #524179equalizerParticipant[quote=Rich Toscano]This conversation reminds me of a great article I read a while back about the problem with US healthcare.
http://www.theatlantic.com/magazine/archive/2009/09/how-american-health-care-killed-my-father/7617/
(Ignore the lame title, for which some magazine editor should be fired).
As I recall, the author makes a compelling case that it is the “comprehensive insurance” model that is the root of the problem, because the “customer” is not the actual patient but the insurance company, medicare, etc. This puts all kinds of distorted incentives into the system and reduces efficiency.
What’s interesting is that as far as I can tell (and I admit I’m not too punched in), most of the debate right now centers around who should pay. And this is an important question, but I think the better question to address first would be that of what we are paying for. Clearly, as davelj’s stats show, we are paying more and getting less. There is a reason behind that that needs to be fixed, and simply shifting the payment from one party to another won’t do it.
I’m probably not doing the article justice. I highly recommend it.
Rich[/quote]
Rich,
I quoted the great article back here in Oct 09.
http://piggington.com/healthcare_yes_this_subject_againBusinessweek has an article about end of life care and breakdown of costs. “The bills for his seven years of medical care totaled $618,616, almost two-thirds of which was for his final 24 months.”
Here’s the general conversation with most people with good insurance: “I’ve got great coverage, let the SOBs eat cake or go to TJ, etc”
March 9, 2010 at 6:50 PM in reply to: OT: Health Care in Mexico vs. U.S. (related to “Father is visiting and hospitalized…”) #524275equalizerParticipant[quote=Rich Toscano]This conversation reminds me of a great article I read a while back about the problem with US healthcare.
http://www.theatlantic.com/magazine/archive/2009/09/how-american-health-care-killed-my-father/7617/
(Ignore the lame title, for which some magazine editor should be fired).
As I recall, the author makes a compelling case that it is the “comprehensive insurance” model that is the root of the problem, because the “customer” is not the actual patient but the insurance company, medicare, etc. This puts all kinds of distorted incentives into the system and reduces efficiency.
What’s interesting is that as far as I can tell (and I admit I’m not too punched in), most of the debate right now centers around who should pay. And this is an important question, but I think the better question to address first would be that of what we are paying for. Clearly, as davelj’s stats show, we are paying more and getting less. There is a reason behind that that needs to be fixed, and simply shifting the payment from one party to another won’t do it.
I’m probably not doing the article justice. I highly recommend it.
Rich[/quote]
Rich,
I quoted the great article back here in Oct 09.
http://piggington.com/healthcare_yes_this_subject_againBusinessweek has an article about end of life care and breakdown of costs. “The bills for his seven years of medical care totaled $618,616, almost two-thirds of which was for his final 24 months.”
Here’s the general conversation with most people with good insurance: “I’ve got great coverage, let the SOBs eat cake or go to TJ, etc”
March 9, 2010 at 6:50 PM in reply to: OT: Health Care in Mexico vs. U.S. (related to “Father is visiting and hospitalized…”) #524533equalizerParticipant[quote=Rich Toscano]This conversation reminds me of a great article I read a while back about the problem with US healthcare.
http://www.theatlantic.com/magazine/archive/2009/09/how-american-health-care-killed-my-father/7617/
(Ignore the lame title, for which some magazine editor should be fired).
As I recall, the author makes a compelling case that it is the “comprehensive insurance” model that is the root of the problem, because the “customer” is not the actual patient but the insurance company, medicare, etc. This puts all kinds of distorted incentives into the system and reduces efficiency.
What’s interesting is that as far as I can tell (and I admit I’m not too punched in), most of the debate right now centers around who should pay. And this is an important question, but I think the better question to address first would be that of what we are paying for. Clearly, as davelj’s stats show, we are paying more and getting less. There is a reason behind that that needs to be fixed, and simply shifting the payment from one party to another won’t do it.
I’m probably not doing the article justice. I highly recommend it.
Rich[/quote]
Rich,
I quoted the great article back here in Oct 09.
http://piggington.com/healthcare_yes_this_subject_againBusinessweek has an article about end of life care and breakdown of costs. “The bills for his seven years of medical care totaled $618,616, almost two-thirds of which was for his final 24 months.”
Here’s the general conversation with most people with good insurance: “I’ve got great coverage, let the SOBs eat cake or go to TJ, etc”
March 1, 2010 at 11:10 PM in reply to: The Internet may not have had the impact we all thought it would on housing #519629equalizerParticipant[quote=sdrealtor]Thanks for the input but I’d really like to keep the focus on my eureka moment of sorts. It just seems to me that in the last few years demand has become more concentrated than it was. The pace at which information is disseminated has picked up and will only accelerate. While there are other forces out there, it seems like the Internet its instant availability of information on what is for sale has been inflationary not deflationary as I would have expected.[/quote]
Yes, you are stating the Ebay effect where desirable items now can get widespread attention and auction effect. Of course, this process should be creating wider gap between “great” properties and sub-par properties. Is this what you are seeing?PS
We can ignore the pink elephant, but women do make most if not all real estate decisions, no? That must too PC for this site because we know how it NEVER broaches divisive politics or any taboo subjects, etc.March 1, 2010 at 11:10 PM in reply to: The Internet may not have had the impact we all thought it would on housing #519769equalizerParticipant[quote=sdrealtor]Thanks for the input but I’d really like to keep the focus on my eureka moment of sorts. It just seems to me that in the last few years demand has become more concentrated than it was. The pace at which information is disseminated has picked up and will only accelerate. While there are other forces out there, it seems like the Internet its instant availability of information on what is for sale has been inflationary not deflationary as I would have expected.[/quote]
Yes, you are stating the Ebay effect where desirable items now can get widespread attention and auction effect. Of course, this process should be creating wider gap between “great” properties and sub-par properties. Is this what you are seeing?PS
We can ignore the pink elephant, but women do make most if not all real estate decisions, no? That must too PC for this site because we know how it NEVER broaches divisive politics or any taboo subjects, etc.March 1, 2010 at 11:10 PM in reply to: The Internet may not have had the impact we all thought it would on housing #520203equalizerParticipant[quote=sdrealtor]Thanks for the input but I’d really like to keep the focus on my eureka moment of sorts. It just seems to me that in the last few years demand has become more concentrated than it was. The pace at which information is disseminated has picked up and will only accelerate. While there are other forces out there, it seems like the Internet its instant availability of information on what is for sale has been inflationary not deflationary as I would have expected.[/quote]
Yes, you are stating the Ebay effect where desirable items now can get widespread attention and auction effect. Of course, this process should be creating wider gap between “great” properties and sub-par properties. Is this what you are seeing?PS
We can ignore the pink elephant, but women do make most if not all real estate decisions, no? That must too PC for this site because we know how it NEVER broaches divisive politics or any taboo subjects, etc.March 1, 2010 at 11:10 PM in reply to: The Internet may not have had the impact we all thought it would on housing #520295equalizerParticipant[quote=sdrealtor]Thanks for the input but I’d really like to keep the focus on my eureka moment of sorts. It just seems to me that in the last few years demand has become more concentrated than it was. The pace at which information is disseminated has picked up and will only accelerate. While there are other forces out there, it seems like the Internet its instant availability of information on what is for sale has been inflationary not deflationary as I would have expected.[/quote]
Yes, you are stating the Ebay effect where desirable items now can get widespread attention and auction effect. Of course, this process should be creating wider gap between “great” properties and sub-par properties. Is this what you are seeing?PS
We can ignore the pink elephant, but women do make most if not all real estate decisions, no? That must too PC for this site because we know how it NEVER broaches divisive politics or any taboo subjects, etc.March 1, 2010 at 11:10 PM in reply to: The Internet may not have had the impact we all thought it would on housing #520550equalizerParticipant[quote=sdrealtor]Thanks for the input but I’d really like to keep the focus on my eureka moment of sorts. It just seems to me that in the last few years demand has become more concentrated than it was. The pace at which information is disseminated has picked up and will only accelerate. While there are other forces out there, it seems like the Internet its instant availability of information on what is for sale has been inflationary not deflationary as I would have expected.[/quote]
Yes, you are stating the Ebay effect where desirable items now can get widespread attention and auction effect. Of course, this process should be creating wider gap between “great” properties and sub-par properties. Is this what you are seeing?PS
We can ignore the pink elephant, but women do make most if not all real estate decisions, no? That must too PC for this site because we know how it NEVER broaches divisive politics or any taboo subjects, etc.equalizerParticipantIf you don’t have all expenses tracked, you could try Quicken or their free service at mint.com, which gets raves reviews, but all your data is on their server.
equalizerParticipantIf you don’t have all expenses tracked, you could try Quicken or their free service at mint.com, which gets raves reviews, but all your data is on their server.
equalizerParticipantIf you don’t have all expenses tracked, you could try Quicken or their free service at mint.com, which gets raves reviews, but all your data is on their server.
equalizerParticipantIf you don’t have all expenses tracked, you could try Quicken or their free service at mint.com, which gets raves reviews, but all your data is on their server.
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