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Thread: Healthcare

  1. #1751

    Re: Healthcare

    Goldman Sachs asks in biotech research report: 'Is curing patients a sustainable business model?'

    Goldman Sachs analysts attempted to address a touchy subject for biotech companies, especially those involved in the pioneering "gene therapy" treatment: cures could be bad for business in the long run.
    "Is curing patients a sustainable business model?" analysts ask in an April 10 report entitled "The Genome Revolution."
    "The potential to deliver 'one shot cures' is one of the most attractive aspects of gene therapy, genetically-engineered cell therapy and gene editing. However, such treatments offer a very different outlook with regard to recurring revenue versus chronic therapies," analyst Salveen Richter wrote in the note to clients Tuesday. "While this proposition carries tremendous value for patients and society, it could represent a challenge for genome medicine developers looking for sustained cash flow."
    https://www.cnbc.com/2018/04/11/gold...ess-model.html

  2. #1752

    Re: Healthcare

    I linked this article last month. https://www.salon.com/2018/03/25/hiv...ioid-epidemic/

    Here is more of the same. Our government is sitting on their hands forming committees, delegating to campaign staffers, and appointing lawyers instead of drug policy professionals to deal with the opioid crisis. It's appalling.

    https://www.vox.com/policy-and-polit...orphine-france

    In 1995, France made it so any doctor could prescribe buprenorphine without any special licensing or training. Buprenorphine, a first-line treatment for opioid addiction, is a medication that reduces cravings for opioids without becoming addictive itself.

    With the change in policy, the majority of buprenorphine prescribers in France became primary-care doctors, rather than addiction specialists or psychiatrists. Suddenly, about 10 times as many addicted patients began receiving medication-assisted treatment, and half the countryís heroin users were being treated. Within four years, overdose deaths had declined by 79 percent.
    Studies show that buprenorphine and other anti-addiction medications like it, such as methadone, cut mortality among opioid addiction patients by half or more. Thatís why experts consider the medications the gold standard of care for opioid addiction.

    Yet these medications, like addiction treatment in general, remain very difficult to get in the US. According to a 2016 report by the surgeon general, only10 percent of people in the US with a drug use disorder get specialty treatment ó which the report attributed to a lack of access to care. And even when treatment is available, other federal data suggests that fewer than half of treatment facilities offer opioid addiction medications.
    The feminist agenda ... encourages women to leave their husbands, kill their children, practice witchcraft, destroy capitalism and become lesbians. ~Pat Robertson 1992

  3. #1753
    time of my life ... ajra21's Avatar
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    Re: Healthcare

    Quote Originally Posted by Texsahara View Post
    I linked this article last month. https://www.salon.com/2018/03/25/hiv...ioid-epidemic/

    Here is more of the same. Our government is sitting on their hands forming committees, delegating to campaign staffers, and appointing lawyers instead of drug policy professionals to deal with the opioid crisis. It's appalling.

    https://www.vox.com/policy-and-polit...orphine-france
    why help someone when you can punish them?
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  4. #1754

    Re: Healthcare

    Quote Originally Posted by ajra21 View Post
    why help someone when you can punish them?
    ...and spend more money punishing them than you would helping them, while believing you're compassionate and fiscally responsible.
    "A Prince whose character is thus marked by every act which may define a Tyrant, is unfit to be the ruler of a free people."
    -- Declaration of Independence

  5. #1755
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    Re: Healthcare

    https://2paragraphs.com/2018/05/60-m...&ICID=ref_fark

    In 2011, Acthar Gel sold for about $40 a vial. Today it’s more than $40,000 a vial.

    Another example of what's wrong when you let for profit business dictate health care. Oh and the company president made $15M last year.
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  6. #1756
    Let's go Rangers! RhodyYanksFan's Avatar
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    Re: Healthcare

    Today, Explained is a really well done daily podcast about a current event. Friday they had a story about emergency room facility fees highlighting one woman who went to the ER but when she found out the doctor wasn't in her network left after getting an ice pack and ace bandage. Then a month later she got a bill for $5,751.

    http://art19.com/shows/today-explain...a-e021a6859331

  7. #1757
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    Re: Healthcare

    Quote Originally Posted by RhodyYanksFan View Post
    Today, Explained is a really well done daily podcast about a current event. Friday they had a story about emergency room facility fees highlighting one woman who went to the ER but when she found out the doctor wasn't in her network left after getting an ice pack and ace bandage. Then a month later she got a bill for $5,751.

    http://art19.com/shows/today-explain...a-e021a6859331
    Yeah saw this last week almost posted it.

    Hospital should face criminal charges for that IMO but it's SOP across the Nation so nothing will be done.

    We really do have some the most F-ed up healthcare system in the industrialized world.
    Baseball is life;
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  8. #1758

    Re: Healthcare

    https://www.americanprogress.org/iss...erm-plan-rule/


    Last year, as part of the tax law, Congress eliminated the Affordable Care Actís individual mandate penalty. Given the mandateís important role in encouraging healthier people to enroll in the marketplaces, the Congressional Budget Office (CBO) estimates that, in 2019, this will increase average premiums in the individual market by 10 percent.

    Furthermore, in February 2018, the Trump administration proposed a rule to expand short-term health insurance plans. As indicated by their name, short-term plans are intended as temporary insurance coverage, generally to help people manage transitions between different sources of coverage. Yet the Trump administrationís rule would expand their duration so that they could become a long-term source of coverage. These plans generally do not comply with the ACAís protections for people with pre-existing conditions.

    Along with the repeal of the individual mandate penalty, this expansion of short-term plans will drive up average premiums for ACA-compliant coverage in the individual market. Recent preliminary rate filings in Virginia demonstrate that these actions are contributing to significant premium increases for marketplace coverage in 2019. In fact, some Virginia insurers specifically cited the individual mandate repeal and short-term plan rule as major factors in their rate filings.

    Using estimates from the Urban Institute, this column projects average state-by-state premium increases for 2019, in dollars. Estimated premium increases due to these acts of marketplace sabotage average $1,013 nationally for benchmark premiums for a 40-year-old individual.
    The feminist agenda ... encourages women to leave their husbands, kill their children, practice witchcraft, destroy capitalism and become lesbians. ~Pat Robertson 1992

  9. #1759
    Get Off My Lawn. Maynerd's Avatar
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    Re: Healthcare

    "Marketplace sabotage?" Sounds like the study reached its conclusion first, and then developed data to support it. Of course, the Center for American Progress is as unbiased as Fox News.

    The free market hardly includes a mandate that people purchase a product they don't want, which is what the ACA did with health insurance. So, eliminating that legal mandate is returning the market to a more natural state, where people purchase the insurance they desire. Or not. Now, whether this is a good idea is a completely different discussion. But the elimination of an artificially created demand should never be referred to as market sabotage.

    "But what people tend to forget...is that being a Yankee is as much about character as it is about performance; as much about who you are as what you do."
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  10. #1760

    Re: Healthcare

    Quote Originally Posted by Yankee Tripper View Post
    https://2paragraphs.com/2018/05/60-m...&ICID=ref_fark




    Another example of what's wrong when you let for profit business dictate health care. Oh and the company president made $15M last year.
    But . . . But . . . But . . . The private sector is more efficient. Government programs are wasteful. Human services should be privatized to reap the benefit of private sector efficiencies instead of following the failed European models of national health care.

  11. #1761
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    Re: Healthcare

    So predictable. Thanks to trump and his blind followers in Congress, 4 million less are insured and premiums skyrocketed far more than under ACA. Trumpcare is killing Americans. America last.
    2018: the year the USA put children in cages

  12. #1762
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    Re: Healthcare

    Quote Originally Posted by Yankee Tripper View Post
    https://2paragraphs.com/2018/05/60-m...&ICID=ref_fark




    Another example of what's wrong when you let for profit business dictate health care. Oh and the company president made $15M last year.
    Another example of us in America subsidizing the rest of the world. The drug companies say they need to charge these prices or else R&D and innovation will fall. However, the rest of the world gets to negotiate prices on a country-wide level giving them much better buying power. They may lose out on some drugs that their national board doesn't deem worthy or better than something that's already out there, but they also pay 2-10x less than we do.

    https://www.vox.com/science-and-heal...ices-explained

    The true story of Americaís sky-high prescription drug prices
    Countries like Australia, Canada, and Britain donít regulate the price of other things that consumers buy, like computers or clothing. But they and dozens of other countries have made the decision to regulate the price of drugs to ensure that medical treatment remains affordable for all citizens, regardless of their income. Medication is treated differently because it is a good that some consumers, quite literally, canít live without.

    This decision comes with policy trade-offs, no doubt. Countries like Australia will often refuse to cover drugs that they donít think are worth the price. In order for regulatory agencies to have leverage in negotiating with drugmakers, they have to be able to say no to the drugs they donít think are up to snuff. This means certain drugs that sell in the United States arenít available in other countries ó and there are often public outcries when these agencies refuse to approve a given drug.


    At the same time, just because there are more drugs on the American market, that doesnít mean all patients can access them. ďTo think that patients have full access to a wide range of products isnít right,Ē says Aaron Kesselheim, an associate professor of medicine at Harvard Medical School. ďIf the drugs are so expensive that you canít afford them, thatís functionally the same thing as not even having them on the market.Ē

  13. #1763
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    Re: Healthcare

    We donít have healthcare we have profitcare
    2018: the year the USA put children in cages

  14. #1764
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    Re: Healthcare

    https://www.vox.com/2018/5/23/173532...out-of-network

    Another example of our f-ed up patchwork healthcare system even when you have insurance coverage

    tl;dr version
    dude gets jumped
    wakes up in ER with broken jaw
    checks to see if hospital is in network
    it is
    has surgery
    surgeon is out of network
    he gets bill for almost $8K
    Baseball is life;
    the rest is just details.

  15. #1765
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    Re: Healthcare

    Quote Originally Posted by Yankee Tripper View Post
    https://www.vox.com/2018/5/23/173532...out-of-network

    Another example of our f-ed up patchwork healthcare system even when you have insurance coverage

    tl;dr version
    dude gets jumped
    wakes up in ER with broken jaw
    checks to see if hospital is in network
    it is
    has surgery
    surgeon is out of network
    he gets bill for almost $8K
    I see this all the time with my Employer. Inhumane. But this is good, more money for the insurer so they will trickle that down in the form of stock buy backs and ship jobs overseas to help the middle class and poor!
    2018: the year the USA put children in cages

  16. #1766
    Quote Originally Posted by Maynerd View Post
    "Marketplace sabotage?" Sounds like the study reached its conclusion first, and then developed data to support it. Of course, the Center for American Progress is as unbiased as Fox News.

    The free market hardly includes a mandate that people purchase a product they don't want, which is what the ACA did with health insurance. So, eliminating that legal mandate is returning the market to a more natural state, where people purchase the insurance they desire. Or not. Now, whether this is a good idea is a completely different discussion. But the elimination of an artificially created demand should never be referred to as market sabotage.
    Criticize the source all you want. The projections come from the urban institute and the cbo. If you think they're wrong make a case. And iirc, you blamed the ACA for rising rates. Now the rates go up exponentially and you call it a natural state? Am I missing something? And we are not really a free market economy anyway.

  17. #1767
    Get Off My Lawn. Maynerd's Avatar
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    Re: Healthcare

    Quote Originally Posted by Texsahara View Post
    And iirc, you blamed the ACA for rising rates.
    Not rates (implying cost of insurance coverage), but I blamed the ACA for increases in COST.
    Quote Originally Posted by Texsahara
    Now the rates go up exponentially and you call it a natural state? Am I missing something?
    Exponentially? Maybe not, but an obvious increase, granted. But the natural state is one where people can chose to purchase a product, or not. A natural state is one where a consumer can shop around for a price that's acceptable. A natural state is one where basic supply and demand determine pricing. A natural state is not one where the government says you MUST participate in the marketplace. So, elimination of that artificial demand doesn't (to me) qualify as marketplace sabotage.

    "But what people tend to forget...is that being a Yankee is as much about character as it is about performance; as much about who you are as what you do."
    - President Barack Obama

  18. #1768
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    Re: Healthcare

    Quote Originally Posted by Maynerd View Post
    Not rates (implying cost of insurance coverage), but I blamed the ACA for increases in COST. Exponentially? Maybe not, but an obvious increase, granted. But the natural state is one where people can chose to purchase a product, or not. A natural state is one where a consumer can shop around for a price that's acceptable. A natural state is one where basic supply and demand determine pricing. A natural state is not one where the government says you MUST participate in the marketplace. So, elimination of that artificial demand doesn't (to me) qualify as marketplace sabotage.
    Now the cost is even more and less are insured
    2018: the year the USA put children in cages

  19. #1769
    Get Off My Lawn. Maynerd's Avatar
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    Re: Healthcare

    Quote Originally Posted by YankeePride1967 View Post
    Now the cost is even more and less are insured
    Fully agree. That still doesn't equate to marketplace sabotage. I thought 'words mattered.'

    "But what people tend to forget...is that being a Yankee is as much about character as it is about performance; as much about who you are as what you do."
    - President Barack Obama

  20. #1770

    Re: Healthcare

    Quote Originally Posted by Maynerd View Post
    Fully agree. That still doesn't equate to marketplace sabotage. I thought 'words mattered.'

    "deliberately destroy, damage, or obstruct (something), especially for political or military advantage."

    It's the right word.
    The feminist agenda ... encourages women to leave their husbands, kill their children, practice witchcraft, destroy capitalism and become lesbians. ~Pat Robertson 1992

  21. #1771
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    Re: Healthcare

    Quote Originally Posted by Maynerd View Post
    Fully agree. That still doesn't equate to marketplace sabotage. I thought 'words mattered.'
    Until Emergency rooms are not required to give emergency care regardless of insurance or not, it absolutely is marketplace sabotage.
    Baseball is life;
    the rest is just details.

  22. #1772

    Re: Healthcare

    http://thehill.com/policy/healthcare...ums-to-rise-15

    ObamaCare premiums are expected to rise an average of 15 percent next year, an increase largely due to the GOPís repeal of the law's individual mandate, according to a Congressional Budget Office (CBO) analysis released Wednesday.
    Better source?
    The feminist agenda ... encourages women to leave their husbands, kill their children, practice witchcraft, destroy capitalism and become lesbians. ~Pat Robertson 1992

  23. #1773

    Re: Healthcare

    Quote Originally Posted by Maynerd View Post
    "Marketplace sabotage?" Sounds like the study reached its conclusion first, and then developed data to support it. Of course, the Center for American Progress is as unbiased as Fox News.

    The free market hardly includes a mandate that people purchase a product they don't want, which is what the ACA did with health insurance. So, eliminating that legal mandate is returning the market to a more natural state, where people purchase the insurance they desire. Or not. Now, whether this is a good idea is a completely different discussion. But the elimination of an artificially created demand should never be referred to as market sabotage.
    The full quote is, ďAfter all, through previous acts of MARKET SABOTAGE, the Trump administration has already needlessly driven up 2018 premiums for ACA-compliant coverage.Ē This is not the case of ďa study that reached its conclusions first.Ē The phrase you quoted was cited in the Conclusions section in relation to the findings of the study. It referenced prior acts whose effects had previously been established. Unless established facts are equivalent to bias, I donít see any problem with this.

    Your comments about a free market and product choices ignore the context within which health services are provided in this country. As long as people can go out on a motorcycle at midnight and drive into a tree, as a friend of mine did, and are then provided with medical services regardless of whether they have insurance or other resources to pay for those services, then the idea of a free market in the health care environment is a myth.

    In a free market, that bike rider would be allowed to bleed out. But we donít leave people to die in the streets. Within that context, we canít have people lobbying for free market principles on the payment end of the equation, but ignoring the patientís role on the responsibility end.

    The conservative Republicans at the Heritage Institute who created the predecessor model for the ACA understood that. They created a plan which required that the free loaders, who expect services if and when they need them, to buy insurance or pay a tax. There is certainly nothing unique about this. We require users of cars to be insured. We require that people pay taxes to support anything from schools to the military whether they agree in principle or not.

    The ACA is a market based approach, not some left wing national health care plan. The fact that it establishes markets in each state doesnít imply that itís a free market approach. Itís a compromise employing market principles, taking into account real worl realities as Iíve mentioned above. The markets being what they are, there is no question that the Trump administration sabotaged them. This is no secret. He made clear with the support of the Republican Congress to destroy the ACA by whatever means he could. Remember ďrepeal and replaceĒ?

    The suggestion that we should actually sit by while some citizens refuse to purchase ďa product that they donít want,Ē is medieval. But if weíre going to be medieval, letís be honest about it and call for a new national consensus that allows people to die in the streets. The truth is that itís a product that they DO want, and frankly that they expect. They just donít want to pay for it. They expect it to be provided for free if/when they need it.

  24. #1774
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    Re: Healthcare

    Quote Originally Posted by Texsahara View Post
    Democrats need to start calling it TrumpCare, because that's what it is at this point.

  25. #1775
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    Re: Healthcare

    http://jasn.asnjournals.org/content/20/7/1432.full

    Mortality of dialysis patients higher in US than rest of world.

    I was on dialysis for 25 months and saw two people die while in treatment. I keep hearing horror studies about wait times (as created by Fox News) but when facts present themselves the opposite appears to be true.
    2018: the year the USA put children in cages

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