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Aww, relax, we're going to have some grown-ups running the government for a change. Well, maybe not the President, but so far, his cabinet is solid. All proven leaders and successful people, not chosen because they make the cabinet look diverse. |
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I'll read up on it |
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So, your family of four in the UK would have the adult workers pay in their National Insurance contribution, depending on your wage, if the kids are under 16 then the prescriptions are free, so the main thing you'd be paying for would be dental and optical treatments. You can get free eye tests in some places, but actually getting the lenses and frames, you're probably looking at anything up to and over £100 ($123 dollars), as for a dental check-up...off the top of my head, the last time I went (which was too long ago...really need to get back) was between £40-60 ($49-74) so outside of your National Insurance contribution you're looking at about $200 per person per appointment, and that's just basic stuff in regards to the dentist, the opticians would probably be lower for just check-ups, but in regards to lense replacement and that, you're looking at the higher end of the scale obviously. Now National Insurance contribution rates vary wildly, I don't know what you bring in as a family, so I'll base it on the UK average income which is £26,500 per year ($32,111) which works out at around £2208 a month, which means that the contribution is 13.8% which is £305 approximately. So you're probably looking at around £400-500 per month expenses on medical coverage in the UK for yourself, which is around 20-25%. Of course, the two kids would not need to pay into the NI until they start work, so you can deduct that £305 each for them, but you'd still have to pay for dental and opticians as the need arose and when they get over 16 then you'll also need to pay prescription charges, although if it's long-term medication then you'll usually get enough to cover a months supply, so that's £8.40 per month, depending on the condition of course. So, at the end of all that rabbit, there's some parity there in our two systems, but there are also some differences, and I must admit I still can't get my head around the American healthcare system, especially when I see some of the hospital bills, and some of the really stupid stuff that people get charged for, but that's something that you tend to only see negative examples of, so that does present a skewed image somewhat. |
I will just say though, before clocking off for now, that our system is by no means perfect, and I really cannot stress that enough. We Brits may have a bit of a gloat about it, but at the end of the day there are some pretty big problems facing it at the moment, and a lot of it is down to mismanagement and funding shortages...not to mention the potential for staff shortages post-Brexit (depending on what particular flavour Brexit we get).
That being said, I think that it is a part of the British national identity and if anyone made an overt attempt to privatize it, or attempt to implement some form of fee at the point of service there would be a large uproar over it. :yep: |
@ Oberon
As you may or may not be aware, this year my step daughter went to the ER due to complaints of crippling back pain. as it turned out she was passing a kidney stone. She was sent home with pain management medication and antibiotics and advised to return if the pain worsened or persisted. fast forward two days, the pain returned and was worse than the first go. She was taken back to the ER as directed and an MRI conducted. The doctors discovered that one of the kidney stones had become jammed in her left ureter just long enough to cause urine to back up into the kidney, this, combined with the irritation from the stone passage caused a kidney infection. she was admitted to the hospital here in our home town for a couple of days to manage the condition. the stone passed, but the infection refused to relent and caused the kidney to abscess. She was transferred to a Children's Hospital about 2 hours drive from home and admitted where she remained for the next 22 days. During that time doctors determined that the offending organism was Klebsiella Bacteria and worked to save the kidney. Ultimately she needed a drain tube inserted through her abdomen into the kidney to allow the abscess fluid to exit the body (Nephrostomy) and we were advised that only a handful of antibiotics would actually work against Klebsiella Bacteria. Eventually she was sent home with a PICC line inserted into the left arm which was meant to feed the antibiotics directly into the circulatory system. This was something we were taught to do here on our own, but for the first few treatments she had a visiting nurse. I cant complain about our insurance plan too much, we have a better plan than most, but we do pay exorbitantly for it. the final tally on her medical bills rested in the $115,000 range, of which we will be responsible for about $7,000 out of pocket. Without putting too much of our business our there, my wife realistically only makes about $1,900 a month, her employer offered health care plan is what i would call a "Cadillac" policy. It offers a great many options and coverages. conversely, i out earn my wife many times over, but the employer offered health care plan through my employer is garbage ergo we elect to use her coverage instead of mine... which is why it gobbles up so much of her income. My in-laws are another example. While self sufficient and proud people, they would be considered "low income" and since they are both "self employed" Obamacare was the only realistic option for them at the time of their enrollment. They couldn't go without insurance, and they certainly couldn't afford to pay the state mandated penalty for going uninsured. Unfortunately for them, their ACA premiums have increased considerably since their initial enrollment and have expressed disappointment with the coverage compared to the cost. Im certain they are not the only folks in that boat. I almost lean toward scrapping the ACA altogether and letting free market capitalism run with the ball, when insurers are tripping over their own asses competing for customers the premiums will invariably be reduced. besides... anyone with nary a single dime to spare cannot be turned away from medical treatment - hospitals already receive a ton of tax incentives for treatment of those who are unable to pay as is. the bottom line is; there's only one big rock, and everyone has to get a piece of the rock. My favored politician is quite simply the one who a. gives me the most access to the rock and b. leaves my piece of the rock most unmolested. :haha: |
We just got the numbers for next year's health care costs from my company. Our premiums have gone down and my contribution has gone down but the plan stayed the same.
ACA works for some people at least. :) |
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The upper management of health care is also an issue; gone are he days when hospitals decisions were made by capable medical practitioners who had at least some empathy for the patients; now, decisions are are made by corporate bean counters who have very, very little to no concern for individual patient care and are more concerned about optimizing profits for shareholders of their corporations and in meeting targets to trigger their own bonuses and perks... California voters, years ago, in response to skyrocketing insurance rates and hikes, gave the state insurance commissioner the authority to set ceilings for insurance rates and rate hikes for automobile insurance; insurance companies had to justify the need for rates and hikes by presenting all the evidence to justify their increases. When the law passed, the insurers stormed and bellowed, threatening to pull out of CA and never sell policies in the state again. The law went into effect and, lo and behold, the rates not only stabilized, most of them actually went down and there were even rebates. Most of this was due to the greater transparency in the rate setting process, and a lot of it was also due to something the free market didn't provide: competition. While the major companies bellowed and cursed, smaller companies were able to compete as they filled the voids left by the larger companies. Consumers had far more choices and the big companies began to relent: California is a huge consumer market and the majors could not afford to lose their shares. The experience with the auto insurance industry has led to attempts to put healthcare insurance under the same requirements, but has so far been unsuccessful; the major companies, with their lobbying clout, have thus far been able to dodge and/or suppress any effort to make them as responsible for their actions as are the auto insurers. Maybe it will change soon; the November 2016 ballot had a measure putting e-cigarettes under some of the same law as regular cigarettes and the tobacco industry spent a whopping US $71+ million dollars to defeat the measure and lost by a a result of 64% in favor of the taxation of e-cigs against 36% against; more and more it seems big money is having less and less influence, at least in some states; how this will change, now that Daddy Warbucks is in charge, remains to be seen, but he has already indicated he wants to allow some facets of the ACA to remain intact, and not just minor aspects... <O> |
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Maybe they just wanted to be extra sure... :rotfl2: |
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So the framework was there to get me into a quick operation as needed. Again though, flipside, I don't live in an area which is too heavily populated and so our hospital probably isn't as overcrowded as the inner city ones. It's all pros and cons really, I couldn't honestly stand up hand on heart and say that your daughter would have received better care in our healthcare system because I don't have the relevant data available to make that comparison, but with something like that...well, money is of a secondary concern at the time isn't it. :yep: |
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So Trump was only joking when he said...
that he was going to "Drain the Swamp"
http://video.foxnews.com/v/525726933...#sp=show-clips The clip is fun to watch, Lots of weaseling. So exactly what did he promise again? :doh: |
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I pay more for insurance than the combination of the highest house payment plus the highest car payment I've ever made in my life. I could drive a new Mercedes and have enough left over for gas. I'd never WANT to drive a Mercedes though.... |
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Just like the strange weather ... the cold war is starting to heat up. :yep:
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Standard nuclear modernisation, Obama began it with SSBN-X, GBSD, NGB and the B61 programs, so nothing exactly new.
UK may want to look at it's nuclear deterent - 40 RVs/SSBN and 120 total is not exactly first class nowadays. |
Eh, it'll do, it's not as if we'll ever use it.
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