www.CostaRicaTicas.com

Xman00...I did not mention ideology or left or right as you did. I wanted to stay away from that.

How old are you and do you have to rely on any government programs? Do you want to surrender to the government and let them decide just what you will be given as to health care. I for one do not. I do not trust the government to take control of my life....and health care is a control of one's life.

Again, I must point out that that Obama care is a death notice for elderly. I have not seen that in Costa Rica's health care program. And yes, I am not well versed in the limitations of CR programs and what limitations there are subject to age and major medical.

One can change their insurance health care. Once Obama care is established...they cannot change. There are no choices after that unless you go out of country.

One of the purposes of this Obama care is to kill the our personal health insurance as we know it. Also to kill the personal contact with a primary care physician that we choose. Are you aware of the many taxes imposed in that horrid piece of legislation? Read the bill that was passed. You will find many things that you perhaps were not aware of. The door is wide open to death panels.

well all you have to do to avoid the death panels, is pay cash out of your pocket for every thing and stop being a leach on society,and using Medicare--- Problem solved for you..and you never have to worry about what you are complaining about , death panels and the government...

Your complaint started with not being able to see you primary care doctor, so you ended up at a clinic and saw a bad doc. Did you every think for a moment, that the reason that doc was there was he could not get hired or got fired from a hospital or major clinic and ended up there working bad hours at low pay. In other words he a bad Doc. And that it is not the government fault of any one programs fault. There is a reason this bozo is not at Mayo. Where I live the doc at the hospital and clinics are here because they are bad. other wise they get jobs better jobs in better locations with better hours and better pay .

Now I can go into a horror story of doctor incompetence over 41 years on many different injures, from a shoulder ( 13 operations and still phucked up) steel in my eye that the doc did not think it was hurting any thing so he left it in, to a missed heart condition for 15 years ( which if you love death panels my insurance has refused to pay for any of the needed test and has already refused prior to the Doctor asking permission any operations to fix it, cheaper to let me die- jokes on them I got the super rare variation and- shoveling 10 inches of wet snow will not kill me, but watching TV can ) to having my policy canceled - which can not be done with breaking State Law and union contracts. got bite by a walleye fishing and got a wart, doc for three years told me nothing wrong but I wake up screaming form my finger ripping open on the tip. Then there was on that the doc did nothing for condition in my ass, after taking a shit, 3 hours later I could pass out from the pain, 9 months later I decided that it was not going to heal it self, so he put in ONE stitch, problem solved.... not this is just the start of the doctor incompetence I have experienced over the years, and now refuse to see any doctor but a dentist-- they never lie to me, when they say it will hurt it does..

So if this is your first experience with a bad doctor after 68 years of perfect trouble free medical care, welcome to the club.

remember that 50% of all doctors graduated in the bottom half of their medical class.

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My best friend was the clock on the wall, and he turned out not to be much of a friend in the end

Quote: "There is a reason this bozo is not at Mayo. Where I live the doc at the hospital and clinics are here because they are bad. other wise they get jobs better jobs in better locations with better hours and better pay ."

Maybe not because they are bad, but why are they there and not at a major/mid size city hospital is the question. Shows you have alot of insight for someone not in the biz.

They have a farm system just like baseball. The very good prospects get their foot in the door at better US med schools. After med school, those that show promise get chosen to do their residencies (they are now MD's but slaves) at better hospitals/hospital rotations.

From there, the better resident/MD's that rise to the top get chosen for their Fellowships, usually 2 years (Specialty training, OB-GYN, Orthopaedics, etc) at the better hospitals/teaching institutions. When finished, take their Board Certifications, and away they go to Mayo, or UCLA, or USC, or Barnes in St Louis, or NW in Chi, etc, and get hooked up. Similar to baseball.

The others can still get into Fellowships and become Board eligible, just at lesser schools, many overseas, and many are completely trained overseas, from Med School to Residency to Fellowship.Too many. We've discussed in earlier posts why there are 49 Dr Gupta's in my major city, the answer being the powers that be keep US med school admittance low to control the market. Problem is there is so much demand, we wind up having to import the supply. Dumber then dumb.

The point is you're right, there is a reason Dr X is practicing at a clinic in NW Wisconsin and not in Milwaukee.

But the Big Boy mess up also.

You may say that but some of your previous posts on this thread certainly have a lean toward the right on this subject.

Any objective research on the so called "Death Panel" will show that it was a political uttering by Sarah Palin that had and has no factual basis.

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Pura Vida
Only Irish coffee provides in a single glass all four
essential food groups:
alcohol, caffeine, sugar and fat.
Alex Levine

I wonder if the politicians that want to bring socialized healthcare to the USA would do so if they actually had to use the system themselves?

Devo

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The most dangerous adversaries are the ones that come with a smile instead of a sword

ID, you are right "Bad" was not the right word to use. But your analogy to the base ball farm system is excellent and well stated.

What Circus original posted to warn us about local clinics is very good warning, the local walk in clinics may be staffed with some low level doctors and one needs to be careful. But that has nothing to do with any of the changes coming, or socialized medicine. Even under that, the best docs will still end up at the best hospitals/clinics and the the others on down the line some where, with the real butchers in NW Wi practicing on me .

_________________
My best friend was the clock on the wall, and he turned out not to be much of a friend in the end

"well all you have to do to avoid the death panels, is pay cash out of your pocket for every thing and stop being a leach on society,and using Medicare--- Problem solved for you..and you never have to worry about what you are complaining about , death panels and the government..."

Thanks for calling me a leach. I treat members better than that but apparently you like to insult. Go ahead, I have very thick skin from being on this and the previous board for many years. Been around for too long and have taken care of myself for many years. Perhaps you did not understand the post. It has to do with the majority of people that will be taken under the skirt of the U.S. Government. They will have no choice. Their lives will be controlled by health care if the legislation remains.

Again, I ask you how old are you and have you read any of the bill forced through congress? Is this something at your age you think you should be concerned about? If not...no problema for you. I do voice a concern because I am at the age where it affects me personally.

ID: Do the research. Death panels have been used by other countries and critics. Palin did not invent the term. She attached it to our own legislation.

Now I know why I left the board and became inactive.

Take care everyone.

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Damn if I'm going to repeat this shit again. I need a drink.
I've been drinking vodka every day for 45 years and I have certainly never found it to be habit forming.

Sorry amigo what has been done in other countries has no bearing on the health care reform act that has been passed by the U.S. Congress. What she did was to erroneously,for political gain in my opinion, take an innocuous portion of the legislation that had been basically accepted by both parties and give it a "sound bite" name. I repeat there never was a death panel in the legislation and any unbiased (read that as non-political) review of the legislation will attest to that.

I, unlike you have no dog in this fight. I left the U.S. medical care system 9 years ago.

_________________
Pura Vida
Only Irish coffee provides in a single glass all four
essential food groups:
alcohol, caffeine, sugar and fat.
Alex Levine

Here's one for Jazzbo:

I don't think most Americans including myself thoroughly understand how Obamacare affects them, individually, practically, how it changes what they have been used to let's say if they were insured, uninsured, or old enough to be on Medicare.

Has anyone seen a practical summary published that a normal fella could read so that he could understand what's new or different as it relates to him/family, as opposed to how it affects insurance carriers, if that's possible to seperate?

Yep, all one has to do is "google" a subject on the internet to glean the truth! We all know that everything on the internet is entirely fact-based! Try googling "Santorum!"

Not all "local," "walkin" medical clinics are created equal. It is a relatively new business model designed to provide a viable alternative to a visit to the also "local" hospital emergency room. Full disclosure: I serve as billing and records director for two successful urgent care clinics owned and operated by two board-certified ED doctors who each spent five years or so as full partners and full-time ED docs with two major hospital groups. A properly run urgent care clinic will provide, on average, excellent care at about one-quarter the cost and one-quarter the wait time of a hospital emergency room visit. Yes, because we don't accept advance appointments and accept patients on a walkin basis only, wait times sometimes vary, but we generally are able to get people in and out of the door within an hour or so. We work closely with nearby hospital emergency rooms and get our patients to them immediately if the situation warrants it. We also serve as a valid secondary option when a patient's primary care provider is unable to see them because their office is closed (e.g., after 5pm or on weekends) or no appointments are immediately available.

Thanks for the heads up on clinics, which I suspected of being even worst than the rest of healthcare.

Except for certain expensive high-technology surgical procedures in which the U.S. in unrivaled, the rest is to put it mildly, increasingly dysfunctional. The staff in hospitals usually treat you like an inmate in an asylum, having you fill out forms they already have over and over. since I pay cash, I really get phucked, and dealing with bills is complex and time-consuming.

The only solution as I see it would be to break up insurance monopolies and set up health savings accounts, also providing basic treatment for the poorer, who can't save for a rainy day.

I'm lucky enough to attribute my good health to bad living, whiskey,cigars,hookers and giving up on the delusion that I'm going to live forever if I'm carefull enough. One day hopefully well off in the future, I'll die somewhere like an animal, with the four winds blowing over me and of course with a smile on my face thinking of all the beautiful chicas I banged.

Jetsetter747...you would put the politics into it. I don't know your what leanings are and personally I don't care. I just posted a concern about a problem that we seniors have. If you have nothing to say that makes sense....please don't bore everyone with you idiotic remarks. And, how old are you...do you have a dog to hunt in this debate?

This is a reasonable concern to U.S citizens and ex-pats living in CR. This is something that has serious problems with the government taking over health care.

I am extremely concerned with what may be on the horizon.

Perhaps this is falling on death ears.

Politics aside, no other country IN THE WORLD, rich or poor, is aspiring to follow the currently operating US model for health care delivery.

US voters should be embarrassed. Drastic changes are urgently needed.

Long-time reporter T.R. Reid wrote a first-hand, incisive book about how the rest of the rich nations in the world deliver health care, comparing them to the US.

Read that book and you, too, will be an embarrassed voter.

Edit for name of book------The Healing of America by T R Reid.

RAC

Just curious, where in my two recent posts was "politics" even mentioned? In no way did I denigrate your legitimate concerns about "a problem that we seniors have." Maybe my initial post in response to your suggestion to "google" death panels came across as overly sarcastic and harsh. I guess we both share a few things in common: we are both seniors and both capable of "idiotic remarks!"