奥巴马医改的通过:对与错;利与弊

作者:十三大爷  于 2010-3-22 09:55 发表于 最热闹的华人社交网络--贝壳村

通用分类:原创文学|已有66评论

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1 回复 我看世界 2010-3-22 23:12
同意搂主的观点。
1 回复 caro 2010-3-22 23:25
我看世界: 就怕税收上去了,还没有解决问题。
法案规定,保险公司不得对有病的人拒保,保费只会更高。要么政府全部接管,但费用肯定比现在花费还多。
麻州已经实行这种医疗
同意
1 回复 十三大爷 2010-3-23 00:01
我看世界: 就怕税收上去了,还没有解决问题。
法案规定,保险公司不得对有病的人拒保,保费只会更高。要么政府全部接管,但费用肯定比现在花费还多。
麻州已经实行这种医疗
I hope America doesn't become Canada, which the Obama care may be a start
1 回复 十三大爷 2010-3-23 00:04
穿鞋的蜻蜓: 如果真的实现全民医保并且实行有效的全民早期检查和预防医学,我们能在长期把医疗费用降低吗?因为只有这样,我们才能降低每个人的医保费用和国家在医疗上的开支
This will be the only way to cut down the health care cost and eventually the premium each individual pays.  But how soon will we be able to do that?  Much of these have to await the progress in medicine too
1 回复 十三大爷 2010-3-23 00:07
练精化气AAA: 是70年代末开始的 新一代以计算机为代表的新技术革命, 挽救了美国
而不是里根。

现在在玩 新能源革命。 同样的套路, 同样的招数
Regan and Thatcher's political convictions reassure the idea of free market economy, which steered the western industrious world back to the right track.  Technology like information industry helped, but not the decisive factor
1 回复 十三大爷 2010-3-23 00:10
awang9988: 共和党喜欢恐吓群众: 亚裔多少人年收入>250000? 反对屁。
I don't think you ever understood the arguments involved.  People who make over 250k don't really care to give a bit more, but the question is how the money is best spent and if we want America to become like Europe and Canada, i.e. an entitlement society which doesn't work
1 回复 awang9988 2010-3-23 00:29
你十三大爷: I don't think you ever understood the arguments involved.  People who make over 250k don't really care to give a bit more, but the question is how th
I respect your opinion if you are not influenced by partisan. However, I view republicans a shame to block this effort. All the developed world, including South korea, Japan, taiwan, have insurance coverage for all. Why US is so special?  Greedy does not insure your richness and properity, it creates hate and chaosis.
1 回复 daomeidan 2010-3-23 01:15
美国人有“社会主义”,“共产主义”恐慌症,扑风捉影到一点就怀疑自己的改革方向,挺可笑的。
作为世界上叫“民主”最响的国家,总不能只给百姓对医保的期盼权呀!总要做点什么才是。
1 回复 h1pan 2010-3-23 02:44
Wait & see....
1 回复 goodoctor 2010-3-23 03:25
xoyuanfen: 大爷, 通过了, 我的想法是如果我多付税我死不了, 但那些没医保生重病的人真是走投无路了。 我宁愿做多付税的。
Thank you for your kindness

现在美国有大约15%的人无医疗保险,由于法律的规定,他们仍然可以得到基本的紧急的医疗照顾。

你的想法很幼稚,他的计划,听起来很诱人,但是钱从那里来?加拿大怎么小的国家,继续搞“全民医保”都困难,美国可是大的多,复杂的多国家。“全民医保很可能会成为最后的“全民低质量医保”或“全民无医保”。

历史已经证明“大锅饭”不好吃!
1 回复 十三大爷 2010-3-23 03:33
daomeidan: 美国人有“社会主义”,“共产主义”恐慌症,扑风捉影到一点就怀疑自己的改革方向,挺可笑的。
作为世界上叫“民主”最响的国家,总不能只给百姓对医保的期盼权
“社会主义”,“共产主义”已被人类历史证明不工作。给全体人民富足,健康,有尊严的生活,我完全赞同。但“社会主义”,“共产主义”不是答案。
1 回复 goodoctor 2010-3-23 03:38
awang9988: I respect your opinion if you are not influenced by partisan. However, I view republicans a shame to block this effort. All the developed world, incl
do you know the difference  in term of the quality of medical care between the US and countries you mentioned?

Do you know how many lawyers and  law suit against doctors in US and in the countries you mentioned above?

this is not about the money! We physician take care of patients no matter what they have insurance or not, we did it before, we are doing now, and we are going to continue to do it.

共产主义的“按需分配”更好听,但是钱从拿里来?
1 回复 十三大爷 2010-3-23 03:45
awang9988: I respect your opinion if you are not influenced by partisan. However, I view republicans a shame to block this effort. All the developed world, incl
Agree with all that you have said.  As a matter of fact, I wish the Obama care to succeed as the Dems have claimed.  Affordable public health care to every citizen in his country is a very noble-minded idea that eventually will become a doctrine for every developed world.  

But how we get there and maintain a sustainable system is a million dollar question.  What alerted me about Obama care is that it pushes to balance between collective goods and individual liberty to a worrisome extent.  You are right Republicans have been blowing some hate-mongol rhetorics, which actually doesn't help the argument about protection of individual liberty or prevention of an entitlement society.  

Overall, I hope this care plan works both as a doctor and also a person who cares about the trend of this country and the world.  But I don't want America to become a socialist Europe and Canada, i.e. an entitlement society.  Trust me, 10 years, 5 years or even 2 years ago I would say that promoting the collective goods in America weighs more than protection of individual liberty.  But not now.
1 回复 xoyuanfen 2010-3-23 04:07
goodoctor: Thank you for your kindness

现在美国有大约15%的人无医疗保险,由于法律的规定,他们仍然可以得到基本的紧急的医疗照顾。

你的想法很幼稚,他的计划
看看吧。
1 回复 awang9988 2010-3-23 04:12
goodoctor: Thank you for your kindness

现在美国有大约15%的人无医疗保险,由于法律的规定,他们仍然可以得到基本的紧急的医疗照顾。

你的想法很幼稚,他的计划
This is not about 大锅饭 or communism.  You don't need to be worried for making less money for yourself. MD in Western world and Japan also makes a lots of money yet they have coverage to all.

You may wish to think about general public instead of yourself.
1 回复 daomeidan 2010-3-23 04:28
你十三大爷: “社会主义”,“共产主义”已被人类历史证明不工作。给全体人民富足,健康,有尊严的生活,我完全赞同。但“社会主义”,“共产主义”不是答案。
在美国对穷人有很多补助项目,这些钱来自于其他人的缴纳的税,这种思想是什么呢?
1 回复 marnifan 2010-3-23 05:15
goodoctor: Thank you for your kindness

现在美国有大约15%的人无医疗保险,由于法律的规定,他们仍然可以得到基本的紧急的医疗照顾。

你的想法很幼稚,他的计划
好医生说的对
1 回复 fishingperch 2010-3-23 05:15
awang9988: This is not about 大锅饭 or communism.  You don't need to be worried for making less money for yourself. MD in Western world and Japan also makes a l
nice
1 回复 goodoctor 2010-3-23 05:26
awang9988: This is not about 大锅饭 or communism.  You don't need to be worried for making less money for yourself. MD in Western world and Japan also makes a l
you are wrong, i am not worry about my  money, I make enough, actually, less than 30% of patient i treat in the hospital is non insurance patient. I may make more money if everyone has insurance under the obama's health plan.

This is not about money, I do not like politics, but i am worry about the future of medicine.

如果你是学医的你应该知道,看看最近这几十年的医学文献,无论是基础医学还是临床医学,美国人已经远远的把欧洲人和日本人甩到了后面。目前美国是世界医疗创新和进步最主要的动力, 美国是研发,购买和使用专利药物最多的国家。欧洲,中国包括日本等还在大量的使用仿制药。在医学方面,欧洲人和日本人做的只是自己照顾自己。而美国人却在各种利益的驱使下拼命发展, 想一想为什么会是这样的不同?
1 回复 goodoctor 2010-3-23 05:26
awang9988:
You may wish to think about general public instead of yourself.
by the way, what kind thing do you do to help poor?
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