Friday, November 01, 2019

Longer wait times in Universal Health care.Come on Treatment even given late is better than no treatment

Longer wait times in Universal Health care ?


.Comeon ! Dr.Vin Gupta

 Treatment even given late is better than no treatment

Here's how former Rep. John Delaney put it during the Democratic debate in June: “If you go to every hospital in this country and you ask them one question, which is, ‘How would it have been for you last year if every one of your bills were paid at the Medicare rate?’ Every single hospital administrator said they would close."

"Congressman Delaney is wrong — full stop,"
says Craig Garthwaite, a health care economist at Kellogg School of Management at Northwestern University.

Garthwaite says it's more likely hospitals will be forced to scale back services, amenities and staff under a Medicare for All system.

"We're going to get a different kind of hospital going forward and we'll have to decide if that's what we want,” he says. “But it's hyperbole to say all hospitals will close.”

But that is the position of hospital executives at Central Maine Healthcare.


Across the country, 113 rural hospitals have closed since 2010, according to University of North Carolina researchers. Population loss in rural areas and increasing technological demands of a modern health care system ( is this reallyn necessary?)

So a few can have great Healthcare but the majority have no healthcare.

have made it difficult for these hospitals to maintain the revenues they need to operate.


But predictions of further demise under a single-payer system may be overblown, according to research from the Congressional Budget Office.

Universal health care would likely boost revenue at rural hospitals "because they take care of so many Medicaid and Medicare and uninsured patients today," CBO's Jessica Banthin told lawmakers at a congressional hearing in May.


"They treat a greater share of uninsured patients than some more urban and suburban hospitals do,” she said. “They could actually get more revenue under a single-payer if Medicare payment rates were provided for every patient."

Sunday, October 27, 2019

New addictions or just old wine in a new bottle

video games, internet gambling,internet porn, and absorption in the internet itself.
Food, Diet, Exercise

“skilled” gambling, day trading of stocks, or dealing in collectibles

thinking is divided into two kinds, a far-seeing process that plans consistently over time and a myopic process left over from our evolutionary roots.

The reason the dieter doesn’t eat the single chocolate éclair is not that it will cause a noticeable gain in weight, but that it will
damage the credibility of her diet. The struggle between impulse and control now turns not so
much on how close she gets to a temptation—although this remains a factor—but on whether
she expects a later self to see her current choice as a defection and thus have less reason in turn
not to defect. Her self-prediction has become the basis of personal rules.

A person may decide that she can’t resist the urge to eat jelly donuts, or to smoke
after meals, or accept cocaine when offered by a friend—or resist that particular modality
of temptation at all.

 The result is a circumscribed area of dyscontrol.

Cognitive blocks. Since personal rules organize great amounts of motivation, they create an
incentive to suborn the self-perception process. The potential damage from lapses creates
an incentive not to see them, giving rise to a motivated unconscious: suppression, repression,
denial.
Compulsiveness. Choices may become more important as test cases than for their own sakes,
making it hard to live in the here-and-now. Awareness that damaging a personal rule may
threaten to destabilize a larger network of intertemporal bargains may lead to an unwillingness
risk modifying the rule.
Thus intertemporal bargaining stabilizes not only long-term plans but also ways around them.


“motivated”does not mean “voluntary.” Will is a learned executive function—intertemporal bargaining
that reinterprets patterns of expected reward to reveal incentive for consistent choice. This is the
skill that society holds us responsible for maintaining. But sometimes a personal history of bargaining
has left very little expected reward to be bargained with, raising the question of whether
some addicts “can” stop their activity. That is the crux of whether hopeless addiction can be
called a disease.