273 Comments

That's as may be, laineypc, but in Republican health services research, "access" means "available to someone in the Continental United States". It may encompass a lot of elements, but "financial access" simply means that at least one person in the continental USofA can afford to pay for health care. "Effectiveness" and "Efficiency" refer to the process of transferring money from the nation at large to the handful of people who own us and our government, and have little to do with the health care system (other than its money-extracting and -transferring processes). I mean, ideals are nice and all, and I know many quite decent people in the Health Care System, but the people making and passing legislation don't actually give a rat's ass about any of that. Money for their masters and punishment for us are their primary goals.

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If the choice is die or go bankrupt, do you really have access? No. The answer is no.

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Disgusting. Greed has no place in health care.https://www.kff.org/report-...

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My paramedic husband used to work for an esteemed local hospital. It was bought out 3 times by increasingly larger chains. After the last buyout, all the paramedics were fired and the ambulance service disbanded. Emergency services were contracted to a private ambulance firm, because too many poor uninsured people were calling 911. Which they were, because most of them couldn't afford a doctor in the first place and waited until they were half dead to go to the hospital, and then the hospital had to suck up their failure to pay the ambulance bill. Our medical system is well and truly FUCKED UP!

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The meaning I took from Fakakta's article was that she was using "access" to refer to the availability of care, and that affordability was something different, separate from access, but it's not. Affordability is included in the definition of access. It wasn't clear to me that she was aware of that, if she had I figured she would have worded it differently. So as I said, pedantic and picky. Just trying to enlighten.How is your life ACA?

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Don't you mean dunk tank?

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Yes, Republicans are evil, they cover their ears and sing lalala I can't hear you when we say that they can't fix health care without treating it like the market failure that it is, which plenty of other countries figured out long ago. They are heartless in that they don't seem to care that many many people are suffering while they chase their tails, trying to repeal the ACA or sabotage it, avoiding ANY talk of universal health care and it's slippery slope to Communism. Fuck they might not even re-up on CHIP. For babies and children. They are making goddamn Jimmy Kimmel cry for god's sake. Utterly reprehensible creatures without souls.

BUT goddammit, John, It's the goddamned *non-partisan* health researchers who are showing us how, in all it's glorious ways, our fragmented, profit-driven health system is fucking us over, with skyrocketing costs and poorer health to show for it. They are trying to offer solutions with goals of actual better and equitable health outcomes at lower cost, so excuse me for trying to give a shout out to them.

Yes, ideals ARE nice, measurement and evidence are essential, and we should all be demanding that our legislators acknowledge the evidence, that universal health care is both a moral and financial imperative that can only improve our economy and health of our nation.

Participatory democracy has to be the antidote to corporate rule.

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Horrible. I'm so sorry! Did your DH find another paramedic job?

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Prostate cancer is no joke. It took Zappa from us too early.

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I can attest to this and it is NOT fun (unless you are into that sort of thing). I think of my penis as a one-way street and inserting something akin to a crochet needle way down it was horrid.

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Not sure, either. This was in the mid-80s.

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A thought: if the Dems regain the House in 2018, that means that the new Speaker will be in line to become Prez if Trump and Pence are both nailed by Mueller.

President Nancy Pelosi? Holy crap that would make both GOP and Bernie-bro brains explode even more than President Hillz. :D

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The logic of GOP "libertarianism": the government can't sneeze without a Constitutional amendment granting it explicit permission, while a private corporation can literally commit mass murder.

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What an extraordinary thing! I was almost finished with a 3-page, tightly-reasoned and flawlessly-spelled response to your last mild criticism of my response (below), when it suddenly vanished and no mystic incantations could bring it back. I am now spent from the effort and am unable to do it all over again so soon, so I will merely say that I fully support your shout-outs; it's simply that quibbling over definitions - as important as that quibbling is in most circumstances - is not terribly useful when the slavering vermin presently controlling our government don't care and won't take any action that doesn't make things worse. Keep pounding the message, but until we can clean out some of the cockroaches presently infesting our nation's government, its effect is a little limited. Cockroaches don't listen much, no matter how many of us talk at them, and our primary power is the vote (which, amazingly, still seems not to be completely controlled everywhere). Flooding the congressional phone services is always a good thing, but as long as money is protected speech, the Kochs and their criminal buddies will always outshout us in the ears of the GOPers they have bought (and so cheaply!). I couldn't agree more about the participatory side of things, though. Call, write, and vote, sure, but as you no doubt know, there's no substitute for marching, getting out the vote, canvassing and even running for school board or local councils. Crap - that went on a lot longer than I intended. Good thing I kept it short.

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Everyone was offered a job with the private company and most of them took it. Eventually he got fed up with their slow response times and stinginess towards patients and left.

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True, it is not joke, but it is just right for a prick like Mo.

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