I woulddo a time study 100 pizza nade by 35 servers a waste I bet when most likely 10 or ma be will do it. reform you work process to make it more edficient get the waste out.
posted by yichel
about 1 month ago
Here's a different analogy that maybe M and Y can better understand. There is a stadium that holds 50,000 and has 50,000 season ticket holders. In order to make the stadium more accessable to all, they must now admit 10,000 more per game. This causes long lines at the refreshment stands and the bathrooms not to mention those that can't even be seated.
We have a system now that functions well and could function better with some improvements. We want to add more users all the while we want to reduce the pay of the providers which will cause fewer people to want to become providers which in turn will put a bigger strain on the system.
Let's start by fixing Medicare before we try and rebuild the best health care system in the world.
posted by CapeC0d
about 1 month ago
Sorry, but your analogy is ridiculous as it involves a physical stadium, not medical practices which are somewhat flexible and of which there is more than one. I'd prefer to get as many people basic coverage as possible as a first order of business. Peoples health and lives are much too important. We need to get a wellness based health care system in place of the sickness based system we have. Since the private insurance system is in place and will remain in place, doctors and hospitals are free to negotiate contracts. The medical center I worked at terminated a contract with an insurance company that wanted to reduce it's payments. After 3 months the insurance company caved - they were losing too many subscribers (businesses) that insisted our medical center be the contracted provider and they were willing to terminate their policies. We still have a free market system that will adjust to increased demand.
Have you heard of adding refreshment stands or bathrooms if they add 10 thousand they nay lose on the tickets but make money on score cards, hot dogs and beer similar to movies. movies owners do not make any money on tickets they make it on refreshments. That is why most stadiums would add them as soon as possible. a lame analogy.
posted by yichel
about 1 month ago
"No, wanting people to go without coverage because some may be inconvenienced is wrong - it's selfish. --mshadow
Tired and not truthful lib response. Show me, or anyone, ONE person who has been turned away from medical care. Just ONE.
Show me tort reform, frivolous law suit caps, cross state competition for health care insurers, less government restrictions, AMA stepping up to the plate and sanctioning "bad" doctors, then I'll think about health care reform from the knuckleheads in DC. If the DC knuckeheads are so smart, why don't they have "real jobs" making lots of money? Why don't they step up to the plate and volunteer to be first in line for the medical reforms they want ME to live with? I always found you get more respect leading people, not force feeding them. You think Piglosi will give up her Botox, or plastic surgeon? If they pull her face any tighter, she would be a snare drum.
Answer these questions, and then come see me about reforming a system that currently is working; maybe not perfectly, but not nearly as broken as the libs want to scare us into believing. If this system is so bad, Cuba is looking for a few good people. Feel free to join them. And don't forget to take Michael Moore with you.
posted by RobtC
about 1 month ago
I've experienced being dumped out of an ER even though I was seriously ill when I didn't have insurance - even though that is illegal - and had to be hospitalized later that day, . I've seen many people turned away from Urgent Care centers and doctor's offices when they didn't have insurance and couldn't pay the bill up front. So I've seen many and experienced it myself. We've had hospitals here who have been caught dumping uninsured critically ill patients out onto the streets. Those that get caught pay a fine and get a slap on the wrist. There are those who don't get caught. Also, many ER's are closing because the only place where uninsured are supposed to be guaranteed treatment are stuck with huge debts because of those who can't pay. "Frequent Flyers" - those with chronic conditions that are out of control because of lack of consistent basic care cost a small fortune because by the time they come in, they are in full crisis.
As long as we have millions of Americans who do not have health coverage and cannot get obtain it through work (we/ve got a lot of unemployed and those who work for companies that don't provide benefits) and either cannot afford or are denied individual coverage due to pre-existing conditions, we need health care reform.
I agree with tort reform on one condition - that it not have mandatory caps that would harm those who are left with monstrous medical bills and/or are maimed or killed due to negligence on the part of the medical practitioner. A $250,000 cap on a case where a person has lost their life, is permanently disabled or left with a condition that requires life time care just doesn't cut it. I'm more in favor of some time of formula based on real costs plus a percentage and some sort of system that weeds out the truly frivolous cases.
mshadow: Obviously you've experienced personally examples of where our health care system fails us Americans. I am for health care reform too and I don't believe anyone here would disagree with that generic comment. I too had times in my adult life where I did not have health insurance and spent years paying off the debt of a hospital stay.
That said I am not in favor of what is being proposed by the Obama administration. Much of my concern with Obamacare has been discussed and rehashed here already. I have read through most of the 2000 pages of the health care and am still digesting the key points. My main concerns are the cuts to medicare, taxes on medical devices, that I will be taxed on a company health insurance benefit that I earned after working my hinny off for 3+ decades, the possibility that I will not be able to stay with my current provider (which costs me $750/month) and frankly something else that I not sure others have said out loud - I am struggling with being or feeling compelled to pay through more taxes for insurance for others.
I'm not a pizza, stadium, numbers kinda person so forgive me if I put this in terms I understand. Hersh is proposing that by giving health care to people who are currently uninsured it will make it harder for those of us who ARE currently insured to get the healthcare we want. That doesn't wash. The uninsured are currently getting healthcare when it becomes necessary but they are doing it at a higher price for all concerned by going to the emergency room instead of a private doctor. Reduce the number of non-emergency room visitors and the doctors, nurses and other resources freed up can be put to work seeing the same patients on a non-emergency basis.
I am not willing to say that there is only so much healthcare to go around and that those who don't have it now just have to suffer. If that's the way your numbers crunch, Hersh, it's time to get into a different profession.
Sing, I agree the plan definitely has it's bad points as it's been written by lobbyists. My fear is if we do nothing, another 16 years will pass without any other attempt to fix the problem. Too many ERs are closing, too many Americans are without coverage/going bankrupt and suffering the health consequences because of it. At the very least, coverage needs to be extended to as many Americans as possible. Basic coverage for all will reduce costs in the long run. There is still time for negotiation on the current bill as it will have to be reconciled between the 2 houses.
There is a separate bill that will reduce the cuts that are in place for Medicare and that bill needs to pass. I believe it will simply because of popular support. No one wants to see Medicare cut.
mshadow: Good point about the bill being written by lobbyists - I had not concerned that.