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Google sucks
1 day ago
A gay man's view of the world from down Texas way
C I V I L M A R R I A G E I S A C I V I L R I G H T.A N D N O W I T ' S T H E L A W O F T H E L A N D.
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For the record, I love my sister, but she is dead wrong on the issue of marriage. Freedom means freedom for everyone. That means that all families — regardless of how they look or how they are made — all families are entitled to the same rights, privileges and protections as every other. It’s not something to be decided by a show of hands.
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I just wonder if any of you guys under 40 can really understand the enormous difference between 1973 and now. Back then, nobody was out - not anywhere in Texas or across the Deep South. You never saw any other gay people - not on TV, very rarely in the movies (and they were always villains, or came to a bad end), and most certainly not in daily life at school, at work, anywhere.
Yes, by that point in time I knew there were gay people in places like New York and SF; but that was all so far away and so alien to anything I could imagine, they might as well have been living on the moon.
And look at the chart again: all you ever heard about gays, if they were mentioned at all, which was rarely, was that they were sick, perverted, wicked, and horribly unhappy. There was a huge bestseller came out about 1972 that everybody read and talked about, written by a medical doctor: Everything You Always Wanted to Know about Sex, but Were Afraid to Ask.
If anyone can look at this and not see a simply insane way to distribute health care, a system so inefficient no socialist country could ever replicate it, then they have stronger rationalization skills than I possess.A further thought. Notice the chart includes "all public and private spending on care . . . [including] hospital infrastructure." Hmm. Well I would like to see the figures without that last bit included. Because hospital construction in this country is no doubt a lot more expensive than in some other countries: just stop and think about the real estate values in urban areas of the U.S., for one thing. So that distorts what we are really interested in, the amount people and insurers and government pay for health services and supplies, you know?
Americans are being ripped off. The current reform will only move this line marginally, but it will begin that vital process - because it will almost certainly improve the health outcomes of the 30 million or so people who will soon have access for the first time to insurance. And its cost-control measures, pushing back ever so slightly against fee-for service medicine at a time of limitless healthcare potential, might help too.
What this this graph does do is show why the current system, while providing excellent care for many, nonetheless does so at crippling expense to everyone. Without the kind of reform Obama has initiated, there's no way this will get better. We should think of this health insurance reform as the beginning, not the end, of some public policy sanity. And conservatives would do better to help add more cost-controls than run around screaming socialism when the current system has failed so dramatically in any collective or economic sense.
Halvorson handed me an astonishing packet of charts. The material was put together by the International Federation of Health Plans, which is pretty much what it sounds like: an association of insurance plans in different countries. But it showed something I've never seen before, at least not at this level of detail: prices. . . .
There is a simple explanation for why American health care costs so much more than health care in any other country: because we pay so much more for each unit of care. As Halvorson explained, and academics and consultancies have repeatedly confirmed, if you leave everything else the same -- the volume of procedures, the days we spend in the hospital, the number of surgeries we need -- but plug in the prices Canadians pay, our health-care spending falls by about 50 percent.
In other countries, governments set the rates that will be paid for different treatments and drugs, even when private insurers are doing the actual purchasing. In our country, the government doesn't set those rates for private insurers, which is why the prices paid by Medicare, as you'll see on some of these graphs, are much lower than those paid by private insurers.