Nearly half the world lives on less than $5.50 a day: World Bank

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Raggedyann
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Re: Nearly half the world lives on less than $5.50 a day: World Bank

Post by Raggedyann » 10-30-2018 03:58 PM

We have similar problems with our system but at least we don't go broke when we are sick. Our system switched to computer mainframe about 10 yrs ago. I was horrified and asked my Doc where our info goes and he told me the entire country's health history is stored in Alberta. He sympathised with my concern and told me he felt the same.

There is one consolation in using technology to coral us into submission and that is...when a revolution happens the strategy will be to use technology and I don't think we can even imagine how that will role out and how bloody successful it will be. I wish I could live long enough to see it. Who knows? Maybe it will happen a lot sooner as I've been astonished in the last few years as to how fast large scale things can happen. Mostly bad but something good has to happen at some point.

Here's a link to a list of lawmakers that lie about pre-existing condition support.
https://www.washingtonpost.com/politics ... 9144c5a043
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Re: Nearly half the world lives on less than $5.50 a day: World Bank

Post by kbot » 10-30-2018 06:32 PM

Read the article at lunch RA.

I know that here, you have to spend yourself into poverty to, say, make yourself eligible for Medicare/ Medicaid and nursing home care - or, sign over your property to your kids way before you get to that point.

But, it's far worse RA with hospital closures escalating and non-hospital chains moving-in, creating out patient centers:

Hospitals have been closing at a rate of about 30 a year, according to the American Hospital Association, and patients living far from major cities may be left with even fewer hospital choices as insurers push them toward online providers like Teladoc Inc. and clinics such as CVS Health Corp’s MinuteClinic.

Morgan Stanley analysts led by Vikram Malhotra looked at data from roughly 6,000 U.S. private and public hospitals and concluded eight percent are at risk of closing; another 10 percent are considered “weak." The firm defined weak hospitals based on criteria for margins for earnings before interest and other items, occupancy and revenue. The “at risk” group was defined by capital expenditures and efficiency, among others.

The next year to 18 months should see an increase in shut downs, Malhotra said in a phone interview.

The risks are coming following years of mergers and acquisitions. The most recent deal saw Apollo Global Management LLC swallowing rural hospital chain LifePoint Health Inc. for $5.6 billion last month. Apollo declined to comment on the deal; LifePoint has until Aug. 22 to solicit other offers. Consolidation among other health-care players, such as CVS’s planned takeover of insurer Aetna Inc., could also pressure hospitals as payers push patients toward outpatient services.

There are already a lot of hospitals with high negative margins, consultancy Veda Partners health care policy analyst Spencer Perlman said, and that’s going to become unsustainable. Rural hospitals with a smaller footprint may have less room to negotiate rates with managed care companies and are often hobbled by more older and poorer patients.

https://www.bloomberg.com/news/articles ... alysts-say
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Re: Nearly half the world lives on less than $5.50 a day: World Bank

Post by kbot » 10-30-2018 06:35 PM

And it gets even weirder with the Walmartization of healthcare........

Walmart looks to add health clinics in its parking lots

October 29, 2018

Walmart stores in several states are transforming extra parking lot space into "town centers," some of which could include health clinics, according to Business Insider.

"The Walmart Town Center concept is an exciting approach to how we serve our customers by moving beyond the store's four walls and reimagining how we use our unique assets — our existing stores and the surrounding land — to transform how customers experience Walmart," a Walmart spokesperson told Business Insider.

Walmart provides details about a few of the new hubs on a website established for the projects. The Atlanta Business Chronicle reports that Walmart is evaluating whether to add health clinics in some of the new "town centers."

"We envision a more robust and dynamic shopping experience that combines entertainment venues, curated local food vendors, health and fitness services as well as recreational opportunities in a way that connects and engages with the community," a Walmart spokesperson told Business Insider.

Walmart has established its position as a one-stop shop, but the retailer may be redefining what that means by surrounding its stores with a variety of complementary tenants, according to the report.

https://www.beckershospitalreview.com/f ... -lots.html
What the hell are we fighting for? Ah, just surrender and it won't hurt at all. You just got time to say your prayers. Yeah, while you're waiting for the hammer to fall. (Brian May of Queen)

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Re: Nearly half the world lives on less than $5.50 a day: World Bank

Post by Raggedyann » 10-30-2018 08:25 PM

kbot wrote:
10-30-2018 06:32 PM
Read the article at lunch RA.

I know that here, you have to spend yourself into poverty to, say, make yourself eligible for Medicare/ Medicaid and nursing home care - or, sign over your property to your kids way before you get to that point.

But, it's far worse RA with hospital closures escalating and non-hospital chains moving-in, creating out patient centers:

Hospitals have been closing at a rate of about 30 a year, according to the American Hospital Association, and patients living far from major cities may be left with even fewer hospital choices as insurers push them toward online providers like Teladoc Inc. and clinics such as CVS Health Corp’s MinuteClinic.

Morgan Stanley analysts led by Vikram Malhotra looked at data from roughly 6,000 U.S. private and public hospitals and concluded eight percent are at risk of closing; another 10 percent are considered “weak." The firm defined weak hospitals based on criteria for margins for earnings before interest and other items, occupancy and revenue. The “at risk” group was defined by capital expenditures and efficiency, among others.

The next year to 18 months should see an increase in shut downs, Malhotra said in a phone interview.

The risks are coming following years of mergers and acquisitions. The most recent deal saw Apollo Global Management LLC swallowing rural hospital chain LifePoint Health Inc. for $5.6 billion last month. Apollo declined to comment on the deal; LifePoint has until Aug. 22 to solicit other offers. Consolidation among other health-care players, such as CVS’s planned takeover of insurer Aetna Inc., could also pressure hospitals as payers push patients toward outpatient services.

There are already a lot of hospitals with high negative margins, consultancy Veda Partners health care policy analyst Spencer Perlman said, and that’s going to become unsustainable. Rural hospitals with a smaller footprint may have less room to negotiate rates with managed care companies and are often hobbled by more older and poorer patients.

https://www.bloomberg.com/news/articles ... alysts-say
Good Lord this is all so complicated! Sorry but I don't understand your system and to tell you the truth I have not tried to. This is all bs and completely unnecessary.

I wish the US would go Universal as I have a hunch you guys would do it better than us and because we do what you do ours would improve back to what it used to be in the good old days. The PTB have been trying to get rid of universal here for 30 years and have been chipping away at it. We now have a 2 tiered system, which BTW is actually against Canadian law. Laws are for the little people. I have to wait a year to see a specialist and some rich person can pay to jump to the front of the line. Sucks but all done deliberately. They keep hoping that we will all get fed up with wait times, and shortage of Docs/nurses and demand a 100% private system. I haven't seen any evidence that people are going to give in but who knows what could be coming down the pike? My guess is that they will entice the masses into agreeing to private insurance by telling them the premiums will be really low and they will get a much better system. Dumb idiots will go for it and then they will gradually up the premiums until ordinary people will no long be able to afford care. Just a matter of time.
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Re: Nearly half the world lives on less than $5.50 a day: World Bank

Post by Doka » 10-30-2018 09:17 PM

Didn't realize this was a health care thread.

At any rate, Hospitals need to be cost effective . With the new technologies, there is really no reason to have them on such a large scale, with the advent of laparoscpic surgeries, that allow you in and out day surgery, a vast difference from being cut from stem to stern and being bed riddin for a week or 2. Full body scans, for lumps , bumps and plugged arteries, are available and easy access, some just drive around and park in a spot for a day or 2, most under $200. . Cancer drugs becoming more refined, and nonotechnologies are becoming more target specific. Robotics is on the cusp of taking over the Dr. Welby , types and treatments. Humans will still be needed of course. So Kbot, your whole field, that your in ,is in danger of a total overhaul ,many parts going the way of the dinasaur.


In a short time the Baby Boomers are going to start dying off like flies. It will be the last of a huge surge of humans on this planet, for quite some time. The Big Drain on Medicare , will natually dissolve and ease. Moving over for the bigger problems, like one out of 5 on drugs.


The push to have every one move back into the urban areas, will be , for one thing , where everything IS, going to be. Housing, shopping, entertainment, Medical care and etc.
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Re: Nearly half the world lives on less than $5.50 a day: World Bank

Post by Doka » 10-30-2018 09:44 PM

We now have a 2 tiered system, which BTW is actually against Canadian law. Laws are for the little people. I have to wait a year to see a specialist and some rich person can pay to jump to the front of the line. Sucks but all done deliberately. They keep hoping that we will all get fed up with wait times, and shortage of Docs/nurses and demand a 100% private system. I haven't seen any evidence that people are going to give in but who knows what could be coming down the pike? My guess is that they will entice the masses into agreeing to private insurance by telling them the premiums will be really low and they will get a much better system. Dumb idiots will go for it and then they will gradually up the premiums until ordinary people will no long be able to afford care. Just a matter of time.
What?! Socialised Medicine NOT Working..........
I have to wait a year to see a specialist
Wow!
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Re: Nearly half the world lives on less than $5.50 a day: World Bank

Post by Doka » 10-30-2018 10:06 PM

I know that here, you have to spend yourself into poverty to, say, make yourself eligible for Medicare/ Medicaid and nursing home care - or, sign over your property to your kids way before you get to that point.

You are such a sad case. You have nothing to be greatfull for I can see. But you do seem to know how to cheat the system, so All is Not lost. :wink:
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Is Paying Nothing Too Much?

Post by Riddick » 10-31-2018 12:19 AM

Health care costs too much, higher ed costs too much. Housing costs, energy costs, you name it, everybody complains about high prices. So? Do something about it! --

Vote people into power who'll make paying a thing of the past. Free stuff for all! Universal EVERYTHING! Except liberty, but who needs that when you have everything else?

Self-determination is irrelevant. To desire freedom is futile. You will be taken care of.

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Re: Nearly half the world lives on less than $5.50 a day: World Bank

Post by kbot » 10-31-2018 06:37 PM

Doka wrote:
10-30-2018 10:06 PM

You are such a sad case. You have nothing to be greatfull for I can see. But you do seem to know how to cheat the system, so All is Not lost. :wink:
Hardly Doka - just reporting the facts. In order to be eligible for Medicare and Medicaid to pay for long term care, unless you have a trust fund for major carrier insurance, you MUST spend yourself into poverty in order to be eligible.

Sorry, but those are the facts........
What the hell are we fighting for? Ah, just surrender and it won't hurt at all. You just got time to say your prayers. Yeah, while you're waiting for the hammer to fall. (Brian May of Queen)

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Why NOT Just Make Everything Free?

Post by Riddick » 10-31-2018 10:51 PM

We've had it all wrong! It's not prices, it's spending, that's the problem. What to do?

Would you believe there's a way we can have our free stuff AND freedom too? IT'S TRUE! In fact we'll be more free than ever once we eliminate the worst middleman of all... MONEY! Why not? It's our world, we can make our own rules.

A deliberate decision to stop using money would make our lives many times better than they are now. So what are you waiting for? Say YES to common sense, the common good and survival of us and our planet.

Last edited by Riddick on 11-01-2018 12:43 AM, edited 1 time in total.

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Re: Nearly half the world lives on less than $5.50 a day: World Bank

Post by Raggedyann » 10-31-2018 10:55 PM

Doka wrote:
10-30-2018 09:44 PM

What?! Socialised Medicine NOT Working..........
I have to wait a year to see a specialist
Wow!
And so do you. I've read about the wait times down there.
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Re: Nearly half the world lives on less than $5.50 a day: World Bank

Post by Raggedyann » 10-31-2018 10:58 PM

kbot wrote:
10-31-2018 06:37 PM
Doka wrote:
10-30-2018 10:06 PM

You are such a sad case. You have nothing to be greatfull for I can see. But you do seem to know how to cheat the system, so All is Not lost. :wink:
Hardly Doka - just reporting the facts. In order to be eligible for Medicare and Medicaid to pay for long term care, unless you have a trust fund for major carrier insurance, you MUST spend yourself into poverty in order to be eligible.

Sorry, but those are the facts........
Their fearless leader has taught his followers to just ignore facts.
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Re: Nearly half the world lives on less than $5.50 a day: World Bank

Post by kbot » 11-01-2018 05:57 AM

Doka wrote:
10-30-2018 10:06 PM

You are such a sad case. You have nothing to be greatfull for I can see. But you do seem to know how to cheat the system, so All is Not lost. :wink:
And I also resent the implication - I've worked since I was twelve (I'm now 61). It's just before 7AM and I've already been at work nearly an hour, which is a typical day for me and some days I don't get home until about five.

I don't collect a thing and never have. My wife (bless her!!!) has already had two surgeries and is waiting for a third and STILL wants to get back to her work as a nurse because SHE'S been working longer than I have, she misses her patients and their families, and she's that kind of a person.

We both plan to work past our retirement age because we'd go nuts if we didn't work. I've got plantar fasciitis in both feet from over forty years walking/ running on concrete hospital floors and some days I can hardly walk when I get home. I've had injections in my lower back from constant pain, and some days I, along with a number of my coworkers, crash early on the couch when we get home, from the nonstop pace at work. Many of us don't get breaks or lunch breaks at all - unlike many other non-healthcare workers.

I won't go into the charities my wife and I support because we were raised to not discuss these things.

One thing I don't do, Doka, is game the system,..........
What the hell are we fighting for? Ah, just surrender and it won't hurt at all. You just got time to say your prayers. Yeah, while you're waiting for the hammer to fall. (Brian May of Queen)

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Re: Nearly half the world lives on less than $5.50 a day: World Bank

Post by Doka » 11-01-2018 03:43 PM

I won't go into the charities my wife and I support because we were raised to not discuss these things.

I know, I know, Kbot, you have NOT discussed it many times here. But, there IS something not Right about that.

So donating heavily and NOT taking care of Yourself and Family First, so you can complain about what this country is offering you. Pardon me, but that seems bit contrived to me. I suppose in this day age it is appealing to many to be a "Victim". But to be a "Victim" Because of your own choices is a stretch, that too, is appealing as well as popular these days. I have a solution for you, not that you would want one. Cut back a little, on the donating a bit, to afford a policy for your old age nursing home care. You would still be donating and you would not have to martyr yourself (lots of mental masturbation and manuvering). Then you wouldn't need to give your house away, that you didn't mention either.

In the old days a lot of clever people bought homes to enjoy until they got old and needed the proceeds to help them out living with the care they needed. Now days the trend is to stay in your house as long as you can with the help of caregivers coming to your home, do you know that Medicare will cover some of this? But an inhome care policy would more likely offer more compensation for your "Style" of living. Me, they could come in and throw me a peanut butter sandwhich once in awhile.........Never been in "Style" much in my life. Yet........I have my needs met and My Want list provides me with a Rich Dream Life.
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Re: Nearly half the world lives on less than $5.50 a day: World Bank

Post by Doka » 11-01-2018 04:49 PM

We've had it all wrong! It's not prices, it's spending, that's the problem. What to do?
Where ever did you find that little Gem(video) Riddick? Must be an import from a far better planet , with intelligent humans on it. Every body here, currently is vying for Top Dog in the "Victim" contest. :D

When we grow up we can all move there!
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