mikecohen said:
SFCityBear said:
bearister said:
SFCityBear said:
bearfan93 said:
i think Sam hung em up after giving it a go in Israel.
saw him in the SF Financial District in work attire a couple weeks ago
think Domingo is still playing overseas somewhere
OT........
What is "work attire" in the SF Financial District these days? Last time I ventured down there, I walked 3 blocks down Montgomery St and didn't see a single coat and tie. Saw some jeans. Distinguishing the college grads from the construction workers is becoming a challenge.
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Just got back from Canada. Everyone wearing suits and ties. I wonder if that is why all the stuff works in Canada?
Except for the national healthcare system.
You seem like an intelligent chap. Perhaps you might not mind expounding on the deficiencies of the Canadian Healthcare system, since what I know of it is that the founder of it is a national hero there; and people who have experienced (and/or lived under) both that system and the American system find it hard to understand how Americans can continue to tolerate such a comparatively barbaric and grossly inefficient system as prevails here.
Not necessarily intelligent, just curious about what is going on in the planet. I first heard about Canadian healthcare about 15 years ago, when the my cardiologist's office manager told me that they had four patients from Canada, who flew down to San Francisco a few times a year for their regular appointments. It turns out that is a deficiency in many healthcare systems of the world, where patients who can afford it, come to the USA for surgeries or MRIs or other procedures, but this was the first I heard of patients from any country coming here for routine office visits. As it turns out the wait times for seeing a doctor, or having a procedure done in Canada are long, and that is a problem for many socialized medicine systems. If I have a need here in San Francisco, I can usually get an appointment with any of my doctors the same day or the next day. Many foreigners who can afford it come to the USA for some of their medical care. I have relatives in England whose daughter required a tonsillectomy, but the wait for this relatively standard procedure was two years. In England, there is a private healthcare system along with the national healthcare system, so my relatives took their daughter to a private hospital to have the procedure done, and the wait was only a couple of weeks. Canada has no such alternate private system. In fact, Canada and Taiwan are apparently the only two countries in the world with an exclusive national healthcare system and no private healthcare. Most other countries have some private alternative. Germany, for example has several private systems, along with national healthcare. My understanding is that both Taiwan and Canada often have to get outside government or private funds to pay for expensive equipment like MRI machines.
Another deficiency is that Canada does not provide adequate healthcare to its indigenous population, Indians and Eskimos, Inuit and Cree and others. There are 1.7 million of them, and their life expectancy is 15 years less than their non-indigenous citizens. Their rate of tuberculosis in 270 times greater than the rate for non-indigenous citizens. The situation is perhaps unique, in that the indigenous population is living primarily in the bush, where access to care is difficult. The roads are few, so travel is by canoe or bush plane or helicopter, weather permitting.
Your statement that American healthcare system is barbaric is interesting. Western medicine is barbaric, to cut open a body to cure it, or to give a drug that can do damage (in the way of side effects) to cure the patient, is in my mind, barbaric, and Hippocrates foresaw all this when he wrote his Hippocratic Oath. First, we do no harm, but of course we do harm. Today the issues of whether a physician should perform an abortion or assist a patient with a request for a drug to hasten the end of his life, are all major contentious ethical issues. The Chinese have a system of traditional medicine, using acupuncture, herbal medicines, and qi gong and tui na (two systems of physical exercise and massage, coupled with metaphysics) for healing, and most Chinese believe Western healthcare to be, if not barbaric, at least too strong or potent with strong side effects. There is much that Western medicine can not cure. Every time we find a cure for something, it seems 5 more diseases appear on the scene (just a wild guess). To be fair, there is much that Chinese Medicine can not cure either. And we have chiropractors, physiotherapists, etc., along with Christian and other faith-based metaphysical healing methods which are not barbaric, and are covered by some private insurance plans in both America and Canada.
As to your charge of inefficiency, I would say, based on my recent experiences, that the American system is overly efficient, and a caring bedside manner is getting harder to find, which is more important to me than efficiency. I get annoyed talking to a doctor who is focusing on her computer monitor and what she is typing, rather than fully engaging in a discussion of the reason why I came to see her. And then have her announce after 10 minutes that my time was up. She prints out a summary of what she typed, and when I get home, I get an urgent e-mail telling me to check my chart on line, where I see a copy of what she printed out, which basically says I came to her for this problem, and I should take this pill. I don't think she heard more than 20% of what I told her. And this experience is not unusual. The only inefficiency I have experienced in America is Stanford Hospital. I went to a Sleep Clinic there, and it is ALWAYS at least a 4 month wait for an appointment or anything else. Once they wanted me to do a sleep test at home, which meant I would have to drive to Redwood City to pick up the instrumentation, drive home, do the test, and bring the instruments back to Redwood City by noon the next day. But first I had to wait 4 months for an appointment to pick up the instrumentation. So when I finally got the instrument, I came home, and tried to turn it on and go to bed. It would not turn on. Battery was dead. The next day, I returned the instrument to Stanford, and they told me I would need to wait 4 months for another appointment to pick up the instrument again, because they already had a lot of patients ahead of me in line to take a sleep test. Lovely. Maybe they found out I was a Bear and wanted to give me a hard time. Well, they did.
The problem with the American healthcare system is not coverage or efficiency. It is the cost. Because our system does not provide enough clinics for the poor, they will go to the ER for a common cold, because they only have to pay $5 for the visit. Mt Zion ER threw a patient out once, because she came in asking for a pregnancy test. They told her to go to Walgreens. But other than that, anybody can get at least $1000 worth of treatment for $5 in an ER.
We have a corrupt system. A doctor charges me $700 for a 10 minute visit, Medicare pays him $75, and Blue Cross pays him $25, and the rest is a tax write-off. I pay about $300 a month for unlimited visits. Surgeries are about the same deal. Patients and employers are getting shafted by having healthcare paid by the employer. Lose your job, and you are on COBRA, if it still exists, which is super expensive. It has to be, to cover the astronomical amounts doctors and hospitals charge just to be able to make a living. It all started with Medicare. Once the providers found out the government was going to pay for health care for seniors, they began charging whatever Medicare would approve, and when Medicare refused to pay more, the market opened for private insurance companies to make deals with Medicare and providers to keep costs down for the insured, but the uninsured patient has to pay full freight. The government needs to regulate providers not to charge the uninsured more than they charge the insured patient.
I don't see a solution to all this. We are allowing a flood of illegal aliens into this country, rather than require them to come in legally, with a thorough physical examination, and we are not rejecting any with communicable diseases. Because medical care for seniors is paid by the government, the seniors go to the doctor for every little complaint, rather than let the body heal naturally for the minor problems. We are allowing more and more homeless to live in squalor, where the likelihood of spreading disease is high. All of this is stressing our medical system beyond what is reasonable. Our medical schools are not producing enough doctors. And no young doctors make house calls. They can't afford the time. Canada has some of the same problems, a shortage of doctors and a decrease in the number of nurses, but they don't let in as many illegal aliens. Both Canada and the US have a big problem with opioid addiction, and Canada's plans to answer with, guess what? Vending machines dispensing opioids for addicts.