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  Msg # 31861 of 32000 on ZZNY4443, Thursday 9-28-22, 5:06  
  From: LOBBY DOSSER  
  To: HAL LILLYWHITE  
  Subj: Re: Bush knew about vaccine shortage LAS  
 XPost: talk.politics.misc, or.politics, seattle.politics 
 XPost: ca.politics 
 From: lobby.dosser.mapson@verizon.net 
  
 hlillywh@juno.com (Hal Lillywhite) wrote: 
  
 > Lobby Dosser  wrote in message 
 > news:<6nlfd.6666$8W6.6011@trnddc05>... 
 > 
 > ... 
 > 
 >> > OK, there is that aspect of it, law forces hospitals to take anyone 
 >> > at the ER.  And most non-HMO docs have some charity patients. 
 >> > However I doubt that is as expensive as the Canadian system. 
 > 
 >> Glad you brought up Canada. Why do you suppose drugs manufactured in 
 >> the US and imported by Canada are cheaper there than they are here? 
 >> Let's assume that the US has ten times the population of Canada and 
 >> that drugs are used on the same per capita basis. Assume also that a 
 >> manufacturer wants to get $100.00 for a particular drug and there are 
 >> ten Canadian patients and 100 US patients. The Canadians will only 
 >> pay $50.00 per patient so the manufacturer is short $500.00. Where do 
 >> you think they'll find the $500.00? Wait for it! ... why they'll 
 >> charge the US patients $105.00 each - or more, depending on how many 
 >> other Socialized Medicine systems we're subsidizing! 
 > 
 > True and that is a major problem.  IMHO, neither party has really 
 > addressed the cause of the problem.  As I understand it, if the drug 
 > company refuses to sell to Canada at their dictated price, they will 
 > violate the patent and make it themselves.  We need to deal with the 
 > patent violation aspect of this.  And no, it will not be easy.  We 
 > don't have a lot of leverage over what Canadian manufacturers do in 
 > violation of patent law.  We can impose strict controls or tarrifs on 
 > what we import from them, but that creates other problems.  I don't 
 > think there is any easy solution.  My prefered action would be to try 
 > the tarrif route against any country violating our patents but I don't 
 > claim it is a perfect solution. 
 > 
 > Notice that this is one case of *not* exporting jobs to other 
 > countries.  At least most of the drugs "imported" from Canada were 
 > manufactured here. 
  
 But in the meantime it's ok for us to support socialized medicine for 
 Canadians and not ok to support universal health INSURANCE for our 
 fellow citizens. 
  
 > 
 >> You 'doubt that it is as expensive', yet you say the following: 
 >> 
 >> > And if you have a 
 >> > non-HOM doc, you may not subsidize the deadbeats if he refuses to 
 >> > do so.  At least he will have the right to send away the patient 
 >> > with the minor cold.  In a socialized system that patient will eat 
 >> > up more of the doc's time. 
 > 
 >> And what do you think the patient will do? Why, they'll go straight 
 >> to the ER where it will be more expensive to treat them and you'll 
 >> eat the cost in insurance premiums, higher co-pay, or direct costs if 
 >> you visit a hospital. Does this sound sensible to you? 
 > 
 > Agreed, that is a big problem.  IMHO, what the law does to the ER is 
 > involuntary servitude, they are forced to work for no pay.  We need to 
 > change that law.  At the very least, allow the ER to refuse service 
 > for any but emergency problems and protect them from law suits by 
 > patients who do not pay the bill.  If I give first aid to someone as 
 > an unpaid volunteer, I have some protection against law suits.  Why 
 > should an unpaid ER not have similar protection? 
  
 The hospitals and ERs have CHOICES. One choice would be to stop taking 
 any tax dollars. 
  
 > 
 >> > And having a choice of insurance companies allows us 
 >> > to deal with those that do a better job of controlling costs. 
 > 
 >> Oh really? There are three hundred million patients to choose from. 
 >> How many insurance companies do you suppose there are? 
 > 
 > I can think of about a dozen right off the top of my head. 
  
 And how much leverage do you think you have with them? 
  
 > 
 >>  How many insurance 
 >> purchasers read the insurance company's annual reports? 
 > 
 > Don't need to do that to decide which to buy from, just look at what 
 > they cost the customer. 
  
 This  statement is so jaw droppingly naive, I'm ... well speechless. 
  
 > 
  
 --- SoupGate-Win32 v1.05 
  * Origin: you cannot sedate... all the things you hate (1:229/2) 

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