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

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1 回复 goodoctor 2010-3-23 05:28
"但美国之所以有它长久不衰的活力即在于它对个人权利和私营经济的保护和尊重。"

you are absoluately right!
1 回复 fishingperch 2010-3-23 05:30
marnifan: 好医生说的对
ER是救命的,没错。

那么像胃病,肝病这些非急症呢? 没有保险就不给看。说不要命,行,那么癌症呢? 这些属于今天明天死不了,但给病人无穷痛苦的疾病,没有保险,医院是不给看的。MD Anderson Cancer Center 就是这么做的。

挽救生命,解除病人的痛苦是医生的职业道德。

ER只是COVE救命这一项。
1 回复 goodoctor 2010-3-23 05:50
fishingperch: ER是救命的,没错。

那么像胃病,肝病这些非急症呢? 没有保险就不给看。说不要命,行,那么癌症呢? 这些属于今天明天死不了,但给病人无穷痛苦的疾病,没有
why you can not  get insurance?

Like Canada, everyone has insurance, which does not mean that you are going to get medical care you want

I have so many this type of stories:

One Canadian had heart attack, then cardiologist found out that he had coronary artery disease which need heart bypass surgery  right away, and then  doctor told him that he has  to wait because lots of patients are waiting for this surgery before him,

the patient was lucky enough, survive from the heart attack, 6 month later, he developed the heart failure due to previous heart attack, then doctor saw the patient again and told him : " I am sorry, you are too sick, I do not think that you can tolerate this  type of surgery any more"!

My point here is if government do not have enough money to support the universal health insurance, people can not get care anyway no matter patient has insurance or not.
1 回复 awang9988 2010-3-23 06:12
goodoctor: 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
There needs to be a balance between the scientific advance and the benefit of general public.  Seeing the world from one side is not a good way of observation.
1 回复 十三大爷 2010-3-23 06:16
daomeidan: 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?
社会救助,社会福利,全民医疗不等同于把美国变成社会主义中国或者加拿大。共产主义集权及至社会主义宏观统一指挥的无效和无用在人类现代历史中已被反复证明。对比一下中国和朝鲜即可知晓。为什么中国的今天比三十年前有活力,因为它在走自由市场经济的道路。但中国的竞争力和美国相比,落后在哪儿,不在它的GDP总值,而在其治国理念。如今是此,将来亦然,除非我们明晓对个人自由权利的尊重和保护。
1 回复 awang9988 2010-3-23 06:21
goodoctor: by the way, what kind thing do you do to help poor?
I am willing to pay more taxes to cover those uncovered.  No complain. 100% support.
1 回复 fishingperch 2010-3-23 06:23
goodoctor: why you can not  get insurance?

Like Canada, everyone has insurance, which does not mean that you are going to get medical care you want

I have so
设想加拿大病人的例子如果发生在美国,他就不用排队了?

这是什么逻辑?
1 回复 十三大爷 2010-3-23 06:26
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
American doctors make more, and they take care of patients.  We don't throw patients out, because they don't have insurance. Japan does though, and there have been many reports that many Chinese hospitals do the same, i.e they refuse to treat you without the payment made first.
1 回复 awang9988 2010-3-23 06:29
same O shit here.
1 回复 十三大爷 2010-3-23 06:33
fishingperch: ER是救命的,没错。

那么像胃病,肝病这些非急症呢? 没有保险就不给看。说不要命,行,那么癌症呢? 这些属于今天明天死不了,但给病人无穷痛苦的疾病,没有
Let me put it this way: let's hope the Obama care does work while not leading to a social welfare program, which definitely will NOT work in the long run.  As I said in my piece, we hopefully can get everybody in and conduct effective early diagnostic and preventive programs to prevent the prevalence of chronic diseases like diabetes and cancer, which consumes a lot of the health care cost at the moment.  Much of these rely on the progress of medicine too, which both clinicians and scientists are working very hard to realize.
1 回复 marnifan 2010-3-23 06:42
fishingperch: ER是救命的,没错。

那么像胃病,肝病这些非急症呢? 没有保险就不给看。说不要命,行,那么癌症呢? 这些属于今天明天死不了,但给病人无穷痛苦的疾病,没有
我赞同好医生说的O8马的改革会是“全民低保险”或是“全民无保险”。跟您说的是两码事儿。改革是需要的,但不是O8这种急功近利。说穿了,他现在是为了自己的政绩。。还是一副不折不扣政客嘴脸
1 回复 goodoctor 2010-3-23 07:08
awang9988: There needs to be a balance between the scientific advance and the benefit of general public.  Seeing the world from one side is not a good way of ob
you are right, that is why we need the different system like Canada and US in this world, if you do not like US unfair system, then you try to live in Canada, vice versa.
1 回复 daomeidan 2010-3-23 07:09
你我还没有见过共产主义,或真正的共产主义,何况它也从来还没有实现过,你怎么就能证明它的无效。那现在的资本主义后期的寡头政治又说明什么?权利越来越集中。咱们争是没有意义的?过一两千年,后人也许能给出公正的评论。对不对!
1 回复 goodoctor 2010-3-23 07:09
awang9988: I am willing to pay more taxes to cover those uncovered.  No complain. 100% support.
thank you, but how much you can pay?
1 回复 awang9988 2010-3-23 07:11
goodoctor: you are right, that is why we need the different system like Canada and US in this world, if you do not like US unfair system, then you try to live i
Why should I ? The bill passed and you don't like it.  You can go to saturn to make most of every you can find.  It is the victory of American people, not some selfish idiot.
1 回复 goodoctor 2010-3-23 07:13
fishingperch: 设想加拿大病人的例子如果发生在美国,他就不用排队了?

这是什么逻辑?
from your response, I know that you have no idea about health system in US.
1 回复 awang9988 2010-3-23 07:21
goodoctor: thank you, but how much you can pay?
as much as required by the bill.
1 回复 十三大爷 2010-3-23 07:25
daomeidan: 你我还没有见过共产主义,或真正的共产主义,何况它也从来还没有实现过,你怎么就能证明它的无效。那现在的资本主义后期的寡头政治又说明什么?权利越来越集中。
I don't want to wait for 1000 years to see the realization of communism.  I know too well from the past 100 years of history that it DIDN'T work.
1 回复 goodoctor 2010-3-23 12:25
awang9988: Why should I ? The bill passed and you don't like it.  You can go to saturn to make most of every you can find.  It is the victory of American people
You are wrong again, I make more money under O8 new law, I am happy to make more money, maybe someday I should  go to Saturn if I want.

again, this is not about the money, it is about the principle of this country.

请问一句:美国政府有什么权力让美国人必须买医疗保险?下一个是什么?是必须买美国的车吗?
1 回复 goodoctor 2010-3-23 12:27
awang9988: as much as required by the bill.
by the way, you should obey the law, not bill
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