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by car7858 from Chesterfield, Michigan

Last Post 1 day, 9 hours Ago


Health care gap is a myth

Tuesday night's presidential debate perpetuated the myth that not having health insurance equates to not having health care, or at least not having quality health care.

But a new study from the moderate Brookings Institute offers proof to the contrary.

Brookings looked at per-capita health care spending for all Americans and found that there is almost no difference in the amount spent on the poorest Americans and the amount spent on the richest.

For the poorest 20 percent of Americans, per-capita health care spending was $4,477 in 2003; for the richest, it was $4,451. The middle categories were in that same dollar range.

Medicaid and other programs for the poor, as well as unreimbursed care provided by hospitals and out-of-pocket spending by the poor themselves kept pace with the insurance coverage of upper income Americans.

There may be more efficient ways of providing health care to the poor, but the argument can't be made that they aren't getting care.

As the country decides how close it wants to move toward a nationalized health care system, it ought to at least deal with the facts and not the mythology fostered by political campaigns.

In terms of expenditures on health care, the poor are no worse off in America than the rich. Acknowledging that fact might lead to a more rational discussion of what health care should look like in this country.

Posted by Nolan Finley on Tue, Sep 23, 2008. 
26 Comments |  Add a Comment

Member Comments Total Comments: 26
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DetroitLover9550 read my blog view my photos
Nov 8, 2008 | 9:26 AM

There is a stark difference in receiving immediate care for most health issues and the ultra-expensive medical procedures used to treat cancer or any other chronic or degenerative disease. Medicaid does not cover expensive procedures, and while the statistics presented above represent the costs of medical care among rich and poor, it says nothing about life-saving medicine and the costs involved.

DetroitLover9550 read my blog view my photos
Nov 8, 2008 | 9:29 AM

Also, Nolan suggests that the health care plan Obama is presenting is a nationalized health care system, which to most is perceived as what Canada does, and it isn't. It is far different.

He is, after all, an editor with his own opinions. He took one fact and used it to support his perception. He leaves out much to be worthy of debate.

jax276 read my blog view my photos
Nov 8, 2008 | 11:05 AM

Det.Lover, I have had 9 major surgeries on my spine and a regimen of 35 radiation treatments, and chemotherapy. Medicaid has covered their share of everyhing and the costs to me have been minimal. You need to know how the system works is all an not allow the system to work you.

Also you say Nolan only uses facts that support his positions. That sounds a little hypocritical coming from you.

car7858 read my blog view my photos
Nov 8, 2008 | 11:56 AM

DL-If that's the case, then I believe Mr. Finley's post reflects that-Stating the health care issue needs to be addressed in a different manner other than outright lies & myths. I too have had fair to excellant coverage, being injured at work in July of 2006. I had extensive MRI's, epidural injections, Physical therapy; had no difficulty whatsoever in receiving proper medical care. Changing the whole system or claiming it doesn't work as a whole is the myth. Fixing the areas you described could be a good alternative but not the entire answer.

DetroitLover9550 read my blog view my photos
Nov 8, 2008 | 7:07 PM

Jax- I meant he picks and chooses particular facts. He doesn't present the opposite argument.

So, let me get this straight, you are suggesting that you are on medicaid? This from the same person who jumped on the "spreading the wealth" bandwagon, and outright support for a republican agenda? Unbelievable.
Do you not know that is a social program? You know, a liberal ideal? Oh, wait, let me guess, just like Joe the plumber, who has gotten medical and financial support from the government, you probably feel as though since you paid into it you are entitled to it more than lets say a single mom, right?
Don't get mad, just an observation. I must say, the hypocrisy on these blogs is incredible.

jax276 read my blog view my photos
Nov 8, 2008 | 10:21 PM

That right Det.Lover. I once had money and a good job but fate changed all that. Just because my fate hasn't worked out,it still doesn't give me the right to strip money that I didn't earn from wealthy indiduals. I Payed into medicaid through state tax and medicare through federal so I'm only asking for what is owed me. Rich folks don't owe me anything. But I am open for donations if anyone cares lmao.

I never said I'm worthy than anyone to work with Medicaid. Where do you come up with that sh!t?

DetroitLover9550 read my blog view my photos
Nov 9, 2008 | 8:51 AM

According to republicans, your fate is your problem. I'll assume you worked for someone else, if that is the case, then hey, why don't you get off your butt and start your own business, after all, that is the American, conservative, capitalist way.
They, conservatives, state that nothing is owed to you. That is entitlement. Entitlements are wrong, remember. You are taking rich folks money, remember, they pay the majority of taxes, the same taxes that are now spent on medicaid. You can't have it both ways jax. There is no clarity on separation of taxes paid in. And you yourself support less taxation on rich folks, so it stands to reason that if that value you hold so dear were implemented, I am afraid you would be one of the millions of Americans without healthcare. Those are the facts.

DetroitLover9550 read my blog view my photos
Nov 9, 2008 | 8:51 AM

I come up with it that sh!t because you just made the claim that since you paid in, you are entitled to it. That means that you feel like anyone who hasn't paid into it is not entitled. See the hypocrisy? A young mother, lets say 20, who hasn't worked yet, she shouldn't get medicaid? Like I said, unbelievable.
Sorry bro, your mistake.
For the record, as you know, I agree with social programs. I also agree that there should be serious welfare reform regarding financial support for able bodied people without children after a period of time. Nothing wrong with a boost, but it should be only a boost. Rest assured, I am on your side with this one, but I found your response here in direct contradiction to others you have made.

car7858 read my blog view my photos
Nov 9, 2008 | 9:29 AM

The hypocrisy, as you put it DL is quite obvious with you too; Most certainly, this post reflects that past condition of the health care issues and only asks that it be adjusted to help those that you first claimed couldn't receieve help. Michigan's ABW (Adult Benefit Waiver) program alone will make sure that 20-year old mother who has never worked receive needed medical services. Actually, a 20 year old mother with child would be first in line for state benefits for the child's sake. I ask this simple question: If you had been working steadily, been injured either at work or on your own time, and needed medical help wouldn't you seek out the same services? Or do Democrats just plain do it some different way? And as you put it in so many words above how is being a Republican anyone's problem in regards to healthcare? I honestly need to know how you can differentiate a political affiliation makes people think & act different in health care issues. You kind of make it sound like a Democrat not only heals faster but dosen't require the very entitlements that you may need some day (Let's hope not). I'm certain you know many that receive Medicaid, Medicare & State ABW & I don't think you would like to see them cut off, just as I know the same. In my opinion your statement that if people don't pay into it they are not entitled contributes to the myth this post speaks about. That's not hypocrisy to me, that's a very poor comparison on your part, DL. So feel free to ask me to elaborate & I believe I can give you a perfect example of how the system works for those that were indeed

car7858 read my blog view my photos
Nov 9, 2008 | 9:32 AM

injured at work & unable to support themselves-Me; Because that same health care plan & many others covers those you use as example, the ones that claim they can't get healthcare even if they've never worked, exploiting the above posted opinion on myth. You do indeed make many good points but a few of them seem to have no basis & can be easily debated.

car7858 read my blog view my photos
Nov 9, 2008 | 9:41 AM

In my rough days before recovery, (not saying they are not rough now but easier lol), I began to change my life for the better. I came to Macomb county almost 5 years ago & entered the MCREST shelter system. I had nothing but the clothes on my back. Because I could use their address as my residence, (which it was legally), I attempted to get State medical help. Aty that time, Michigan had suspended the ABW program, closing enrollment, so I had to go to free clinics. I was able to enter the Eastwood Clinic, a 21 day inpatient recovery program & left clean. I then began to make my climb up. I stayed in tents, outside but at the same time seeked work to survive. I eventually met my now wife & was allowed to come back to the construction company that had fired me twice for alcoholism/addiction issues. At that time, I was clean for well under a year. Regina & I eventually saved enough money to get into weekly motels and to the point of our apartment we live in by the lake now. In July of 2006, I was injured at work>

DetroitLover9550 read my blog view my photos
Nov 9, 2008 | 9:46 AM

Re-read car. You are coming at me wrong. I do support medicaid and medicare. Everything you remarked is based on the premise that I don't agree. I do think you and jax are entitled to health care, from the government.

DetroitLover9550 read my blog view my photos
Nov 9, 2008 | 9:46 AM

One thing to add, though, you said:

"You do indeed make many good points but a few of them seem to have no basis & can be easily debated."

(1) Be specific and I will respond. [usually with inquisition so I can learn]
(2)I don't think you should be touting about what is debatable. Much of what you post is opinion, and opinion without support, I might add. I don't seek to discredit your opinion, in a debate forum, rather, suggest what mine is. I will say this, if there is something that I remark, without support, I am open to being informed with facts so that I can appreciate that I may be wrong. How many people can you say that about on here? Not many. Too many "legend in their own mind" folks who do not want to engage in debate and simply spout off that it is their "opinion" and that is it. That is closed-minded and does nothing for gaining knowledge. To state that "it is my opinion" without having an argument, on your side, to support it, isn't really an opinion at all. Opinions are formed based on knowledge. Legitimate ones, anyway.

DetroitLover9550 read my blog view my photos
Nov 9, 2008 | 9:48 AM

We seem to be posting at the same time, so I hope there isn't confusion. I just read your remarks, and I applaud you. You are obviously an incredibly strong willed person. I admire that. I also admire your obviously wonderful marriage.

DetroitLover9550 read my blog view my photos
Nov 9, 2008 | 9:50 AM

My remarks:
"To state that "it is my opinion" without having an argument, on your side, to support it, isn't really an opinion at all. Opinions are formed based on knowledge. Legitimate ones, anyway."

Aren't necessarily directed directly at you, per say, rather people in general.

DetroitLover9550 read my blog view my photos
Nov 9, 2008 | 9:51 AM

I'll check in later. Church is calling.

car7858 read my blog view my photos
Nov 9, 2008 | 9:54 AM

and was immediately placed on Workmen's Comp & allowed to use my BlueCare Netwok; In December of that same year, my Comp case was disputed by the employer's insurance company, claiming that the work injury was due to past medical issues concerning my back, which as you will see was later settled on. I was left with no medical insurance & no income whatsoever. But good fortune came that following year in January of 2007, when the State reopened the ABW insurance. So I now was able to get medical attention for my back and also supply proof for a Workmen's Comp case I had filed with a very reputable law firm (Zamler, Mellen & Shiffman). I won that case and received redemption. My Social Security case is pending as I am still medically unable to return to work due to standing/walking problems & sometimes intense pain in my lower back, along with numbness in my left leg. My point is this: As the above view by Mr. Finlay says, the lower class is quite able to get medical attention, along with unwed mothers, people that haven't worked a day in their life & even those with income if they meet the guidelines. The healthcare system as it stands today does need clarification in regards to the examples you first pointed out but not a complete overhaul. Otherwise, if these vital programs are cut in any fashion the ones that do genuinely need healthcare may not get it. Maybe my partuclar case won't apply to those that haven't worked but I believe I proved that this post relates a certain fact, that the healthcare system needs attention in critical areas, not completely dismantled, then r

car7858 read my blog view my photos
Nov 9, 2008 | 9:55 AM

Ok DL, enjoy your day!>)

car7858 read my blog view my photos
Nov 9, 2008 | 10:04 AM

Incidentally, I have to include this point & a correction in my timeline above-The point between when I was cut off by the employer insurance company and when I received ABW, I was covered by a county health plan called Macomb Care Connect, which is also in other counties by their county name. The date that I stated the State ABW plan was reinitiated was January of 2008, not 2007. I went a year without employment, in need of medical assistance & still was able to receive it. I am quite certain that if virtually anyone has a medical attention need, because of my past experiences I could advise them how to get it. When I was in the shelter system, I was allowed to give open speeches to the others & pass out literiture, contact numbers, etc to help them achieve not only healthcare but housing, employment, food/clothing and much more. When time permits & both as a part of my giving back and being the right thing to do, I will ask that same shelter if I can speak to those in their care; Hopefully spreading the message that their is always hope & always help if they want it, work for it and do the right things.

car7858 read my blog view my photos
Nov 9, 2008 | 10:32 AM

I believe this is both opinion & stated facts from my past experiences; Whether they apply to others or even if they compare, I believe I have sufficiently supplied proof that pertains to the posted topic and didn't mean to give you the impression I was "throwing this at you". It's in part my way of backing up my own bio, that does state most of the time, I speak from actual past experiences & obsevations along with hands-on experiences. If you feel a need for me to calrify further, I might but I believe I have stated facts that many can't just read in some book or see in the media all the time. I am quite satisfied with the way I live & how I treat those I meet but I can't be accountable for how others do it. I do have to admit I find it curious how some will ask me to clarify and when I do it is still (that evil word again>) dissected and I am asked to define each word I typed. I will clarify when time permits but I feel most get the right impression of what I am saying; Whether they agree/disagree is where it can become debatable. As far as anything typed in these blogs, they can be debated or agreed on by anyone, including you & I, again not meaning to offend you nor anyone for that matter. Peace out. PHEW!!! LOL.

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car7858

I am presently disabled due to a work injury in the construction field. I was born & raised in Detroit for over 40 years. I presently reside in Macomb County, in recovery since April 4, 2004. I tend to post & reply from actual experiences and topics that lean towards informing people about positive things, while making sure that the real story isn't lost in the shuffle. My posts & comments are my opinion, letting you be the judge based on the issue & current events. (Good ole Disclaimer stuff). I am all for America & Americans, but not for government control & political games. I enjoy corresponding with my fellow MyFox Detroit bloggers, being both a good talker & a good listener.

Member Since: 4/29/2007