exdeath
Lifer
- Jan 29, 2004
- 13,679
- 10
- 81
Originally posted by: DrPizza
Originally posted by: exdeath
Originally posted by: Matthias99
You can eliminate your need for auto insurance by not driving, or reduce it by driving a cheaper car, etc. You can't eliminate your need for medical care if you get sick or injured.
The ER is a fine example of another overly abused victim of the instant-gratification-for-zero-cost cost phenomena that is largly responsible for the majorty of our nations problems.
9 times out of 10 the problem is momentary and goes away, or it's something the ER can't help you with anyway, like the flu. Or after spending thousands of dollars and several hours to diagnose you they concur that you have X, here, take some tylenol for the pain and go and see your doctor tomorrow. Now we have $3,000 less in our healthcare fund for life saving emergency transplants because someone was too lazy or cheap, or simply ignorant of their own body, to keep a bottle of tylenol in their cabinet.
Go visit a ER in Tucson, Arizona in the middle of the night and see what we have flooding the lobby like a plague non stop and what kinds problems they have... I'll give you a hint, it has to do with illegal immigration and free service. And they aren't there to discover they have life ending cancer or because they are in immediate need of a blood transfusion because of an auto accident.
Repeat after me: As cost tends to zero, demand tends to infinity![]()
And you can make it as cheap and affordable as you want in order to say "they still have to pay *something*", but there will be people out there that still say it's too expensive, because $0 a month < $20 a month. Make it free and not only will we have more people than the system can handle, but they will start demanding courtesy gift certificates to Red Lobster when they go to the ER. Then what do you do, since we don't want to alienate them and let them suffer!
Okay, you've contradicted yourself a few times in this thread. You don't mind paying for a child to have cancer treatment, but you mind paying for children from people who keep having kids while working minimum wage jobs. So, I take it that your view is that having children is a priviledge for only the wealthy? Anyways, in regards to this post:
It's not a contradiction: Those two examples were not related that way as I was not comparing the kids themselves. On one hand you have an example of a kid with cancer who needs help. On the other hand the example is a bad parent crying for help. One who had too many kids and can't support his/her family. One is a result of uncontrollable circumstances; the other is a result of irresponsibility and poor planning. Though I realize by penalizing the irresponsible parent, it affects the kids who have nothing to do with their parent?s mistakes. But I made no statement regarding my willingness or lack thereof of helping the kids themselves. Just the parents who use mass reproduction as a crutch to garner sympathy and a way to get on the government dole.
The point is however that I am free to draw my own line and determine who needs help and who doesn't. It was a statement of my value judgment relative to someone else?s. As for the kids themselves? I'd like to know that every child has a fair chance at a good life, but I know realistically that will never happen. But then again look at how many smart, famous, or rich people there are who had crappy childhoods and crappy parents, or no parents. People who want to succeed or change their position in life will find a way if they try hard enough. That is the whole idea behind this country. You aren't assured anything at all, but to be left alone to pursue your own success and measure that success on your own terms no matter how fair or unfair that pursuit is relative to others. Just because you are born poor doesn't mean you are being forced to stay that way, unlike other systems in the world.
But if you would like me to make that direct comparison now in relative terms, here goes:
A kid with cancer or born without arms and legs has a genuine reason for not being able to help himself vs. a perfectly healthy and able bodied poor kid who lives in the slums with ****** parents in poverty and simply chooses not to walk to school with his perfectly working two legs.
9/10 times, it does turn out to be nothing. That leaves the 1 time out of 10 that it DOES turn out to be something. Do you propose that everyone should go to med school so they can tell the difference between a heart attack and just really bad indigestion? I went, no, make that I was taken to the ER for severe pain in my chest - by a medical professional. That person thought there was a significant chance that the symptoms I was feeling were actually a heart attack (pain in the chest, and I was sweating from the pain.) When I got to the ER, they had me on a bed, with needles stuck in me and probes stuck all over my body before I could say "uncle." They thought there was a significant chance that it was a heart attack too. Happy to say, after all the tests came back, it wasn't. Something about my esophogus and stomach or something; basically, indigestion. So, my trip to the ER cost thousands of dollars and turned out to be indigestion. But, do you realize how many cases of "indigestion" actually turn out to be heart attacks?
Again, my own personal choice and value judgement, in a reply to the statement that I could not choose whether or not to seek medical care. I never said you or anybody else couldn't go to the ER whenever you wanted. Just don't expect someone else to pay for it if they don't want to. You have choices to make, and when someone elses is paying for it, you are more likely to not face those choices.
Where do you live? Our ER and UC facilities in Southern Arizona are overrun by illegals. Several trauma centers have been closed left and right due to money management problems as a result of being unable to afford this burden. I'll say it again: "As cost tends to zero, demand tends to infinity" How many people waited in line for 24+ hours for a PS3 even though they had to *pay* $600? How many more people would have been in line and how much longer would they be waiting in line if they we're giving them out for free, and not only that, you were guaranteed to get one eventually if you kept your place in line? Healthcare is worth a lot more than a $600 toy to many people.There's a saying: "better safe than sorry." Sometimes, delaying medical treatment can have dire consequences. When did you pass your medical boards which would allow you to tell people that their symptoms can wait? Since when did you start doing cultures of what's in your throat which will tell you it's actually strep throat? And, do you go back to work, likely infecting others, before you've been on the antibiotic a sufficient amount of time?
"As cost tends to zero, demand tends to infinity" No, costs won't trend toward zero, because you're ignoring some of the other costs. As demand goes up, response time decreases. People have to wait longer. Time is a cost. People are not going to go to the ER if there's a 7 hour wait; or rather, they're going to evaluate whether or not their condition really merits possibly waiting 7 hours. Even the illegal immigrants. (The cost to them is zero... I don't see an infinite number of them in the ER's, do you?)
I've spent plenty of time in the ER (as a patient, and visiting my wife who once worked in that part of the hospital.) So, I do know that some people will go to the ER with the most minor, non-emergency symptoms. But, when walking in and discovering that they'll probably have to wait several hours, many people without life-threatening injuries will turn around and leave (usually to go to a different hospital.) Last May I was lucky that I waited - I had a *very* painful infection in my elbow. It ended up that every day of treatment really counted - the infection turned out to be an anti-biotic resistant staph infection. By the time this was determined, my elbow was huge and swollen. Had I delayed the initial treatment, it likely would have progressed to the point where I'd have to have taken off a significant amount of time from work - at taxpayer's expense. (It marks the only time in 7 years that I took a sick day at my present job, and the 3rd time in 20 years.) Heyyy, there's another reason for the ER for me: I don't have to take time off from work!
Once again, to each their own!