Re: Important PBS series in March

From: James Smeltzer (James.Smeltzer@wellstar.org)
Mon Mar 10 09:34:24 2008


Apparently Pres Bush thinks we can. He is ADAMANTLY OPPOSED to taxing dead rich people, who were too greedy and controlling to put their bread in a family trust....

As to people's behavior and health - I have always been in favor of a bigger tax on the obvious tobacco and ethanol. How about a copay proportional to (BMI - 26) Or (Mean BP - 105) Or (Resting HR - 60) Or ???

JSS

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James S. Smeltzer, MD, FACOG, SMFM
Consultant, Maternal Fetal Medicine
Wellstar Physicians' Group
Northwest Women's Care
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>>> Terry DuBose <terrydubose@sbcglobal.net> 3/9/2008 11:52 AM >>> I agree that paying for universal health care is an issue. But we can't take it with us, and Denmark seems to have found some answers. With a 50% tax rate, they are the most content people on Earth, it appears: http://www.cbsnews.com/stories/2008/02/14/60minutes/main3833797.shtml

Peace, Terry

Ellerd Family <ellerd@stx.rr.com> wrote: v\:* { BEHAVIOR: url(#default#VML) } o\:* { BEHAVIOR: url(#default#VML) } w\:* { BEHAVIOR: url(#default#VML) } .shape { BEHAVIOR: url(#default#VML) } st1\:*{behavior:url(#default#ieooui) } I understand the social aspects of this...the problem becomes how to pay for it. Even in Cuba "someone" has to pay for it. The idea of providing everyone with healthcare is a global concern and wonderful on its face...but then the reality sets in and the next question becomes...

How do we fund it and keep our economy viable to help other countries achieve the same?

I did watch the preview, however, with documentaries I never take them on face value. I watch and listen and then research on my own. In general they always tend to be slanted towards what the maker wants you to see. I prefer making informed judgments rather than have them fed to me with a spoon. There are plenty of sources lauding the wonders of NHS and plenty of others describing the horror stories and rationing of healthcare. Which to believe? That is for you to decide on your own.

Now that you mention life expectancy...are we asking the question of whether it is due to our healthcare system or our sedentary lifestyle and access to cheap, easy, fat/sugar laden sources of food? Is there a McDonald's on every corner in Cuba? Do people have the same access to technology in Cuba that Americans do? Do they sit on their tookus all day and surf the internet and never exercise?

I believe the statistics, what I am not sure of is whether the numbers are the result of personal lifestyles or the failure of the healthcare system. And if you fix one, have you really fixed the other? Will a tax payer funded healthcare system teach our society anything about personal responsibility in what we shove in our faces or how much we move? Will it cure the epidemic of lack of personal responsibility for our own health? We can point at big corporations all day long and say that they provide us with cigarettes, alcohol, and cheap sustenance....but in the end are they holding the fork/cigarette/drink for us? Will the tax payer funded healthcare system cure this or will it just treat an exponentially growing problem until it bankrupts us all?

Interesting discussion by the way...discourse is always fascinating.

Shelley

From: DuBose, Terry To: Multiple recipients of list ULTRASOUND Sent: Tuesday, January 29, 2008 9:06 AM Subject: RE: Important PBS series in March

“Good hard numbers in this discussion would be helpful in demonstrating the disparities of the systems, and at that point I think it should be determined by the individual which they feel is more advantageous or more broken.”

Here are the world rankings for “HEALTHY LIFE EXPECTANCY” The USA is 24, below all other industrialized nations.

http://www.photius.com/rankings/healthy_life_table2.html

If you actually watched the preview for UnNatural Causes documentaries, you heard the statistic that the USA pays nearly half of all the health dollars paid by the entire world, yet we rank 30th in life expectancy… below Cuba according to this. http://www.unnaturalcauses.org/disclaimer.html

Why does one stat say we are 24th and the other 30th, different ways of calculation, or different time periods? Either way, for the money we spend, we are not getting much effectiveness when compared to other nations.

Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM

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