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  • [-]Do you know that the people who are trying to block health care reform are the same kind of people who tried to block universal education, social security, and nearly every other step forward we have taken as a nation? Same mentality. Same lame excuses. "We can't afford it!", they say. These are moral issues! Ending slavery, the Civil Rights Movement, giving women the vote, ending child labor - all this progress was opposed in much the same terms as we see happening today.

    48 replies [ Reply | Watch | Options ]
    11.19.09, 12:06 PM [ Flag ]
    • ITA, the conservative movement is the most hypocritical machine on the planet. They preach morals and live without them. Bunch of fear mongers clinging to an America they don't fit in anymore - thank God.

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      11.19.09, 12:19 PM [ Flag | link to this post ]
      • they're evil geniuses, though. they've somehow convinced the very people they're oppressing to join them in condemning the people who, you know, want to pay them a living wage and buy them health care.

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        11.19.09, 12:38 PM [ Flag | link to this post ]
      • They are not the only hypocritical jerks out there.

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        11.19.09, 12:51 PM [ Flag | link to this post ]
    • You should realize that many people are not opposed to what they are trying to do, but how they are trying to do it... the government would like you to think otherwise.

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      11.19.09, 12:45 PM [ Flag | link to this post ]
      • NP: And yet many of the alternative ideas that have been proposed would do little to nothing to address the problem of extending insurance to those who are currently uninsured. Many people on both sides would like to see changes. I would like to see more emphasis on promoting effective treatments and discouraging ineffective treatments. But at the same time, something needs to be done now.

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        11.19.09, 12:57 PM [ Flag | link to this post ]
        • We need to reduce the cost of healthcare, so that it is more affordable. At the same time our population is aging and medical care and technology has gotten more complex and expensive. Raising taxes and cutting reimbursements to healthcare providers is not the solution.. it will result in extreme shortages of Doctors as they leave the profession because they can no longer cover their expenses. Who is going to see all these newly insured patients. We need torte reform! We need to allow insurance companies to compete across state lines. These are two changes that would cost relatively no $ and yet are not part of the current proposal ( not in a meaningful way ). What is being proposed will not work and will result in a deterioration of...

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          11.19.09, 01:03 PM [ Flag | link to this post ]
          • These are starts, but they are not enough. I agree with you that both should be incorporated into current proposals. But I don't believe for seconds that doctors are going to leave the profession in droves. I am married to one and work with many, and most of them are not in it for the money--the good ones anway! They could do their part by trying harder to incorporate evidence based medicine into their practice. This craziness about the age at which to start mammograms is illustrative of our commitment, as a country, to early, frequent, and often needless screening + intervention (even when health outcomes are worse as a result).

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            11.19.09, 01:07 PM [ Flag | link to this post ]
            • ^oops "for a second"

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              11.19.09, 01:10 PM [ Flag | link to this post ]
            • I am also married to a doctor ( and writer of the comments above ). My husband often works until 11 at night and often 7 days a week. His expenses keep going up ( malpractice, office staff, billing ) and yet his reimbursements are going down. They only way for him to maintain his current income is to see more and more patients which is becoming very difficult given the hours he is already working. Many of the guys that he knows that are in their late 50's and 60's are planning on retiring if things continue to get difficult.

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              11.19.09, 01:13 PM [ Flag | link to this post ]
              • I hear you--it's hard work. Hard for them, hard for us (the families), and the training is brutal. That's why I would like to see torte reform too, and maybe some kind of windfall profits law about what can be charged for insurance (have you ever seen one of the graphs of profits vs what they pay out?!). I would like to see better pay for the primary care docs so that more go into that profession, and less money going towards all of the personnel who have to handle billing (on our side and on the insurance co. side). agree the system is out of control!

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                11.19.09, 01:16 PM [ Flag | link to this post ]
              • ITTA> Signed wife of doctor also

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                11.19.09, 02:03 PM [ Flag | link to this post ]
    • If ppl think that health care reform will not increase everyone's taxes in the long run then they are fooling themselves. You are wrong they are not all the same ppl that tried to stop SS and universal education. There may be some but what do you expect this is a Christian society.

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      11.19.09, 12:50 PM [ Flag | link to this post ]
      • np: what does that mean? "this is a christian society" is supposed to explain the opposition to public goods? i am a christian and i support all of those things: universal healthcare, social security, universal education. love your neighbor...

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        11.19.09, 12:58 PM [ Flag | link to this post ]
    • Don't be so simplistic! Take the time and understand the financial situation that this country is in and what the proposed plan is going to do to the economy. It's great to want to have universal healthcare but you have to have the money to pay for it. The plan on the table right now is completely unrealistic from a cost savings standpoint and is going to create further tax increases that are going to further weaken the economy.

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      11.19.09, 12:54 PM [ Flag | link to this post ]
      • The very fact that The United States of America does not have the best, most affordable health care on the planet, along with the best in Public Education - without question, given our wealth is a national disgrace and an abomination. Period. The end.

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        11.19.09, 12:57 PM [ Flag | link to this post ]
      • Of course it is going to create higher taxes, that is all Obama does. Big ideas that everyone but illegals and the super poor do not have to pay for.

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        11.19.09, 12:59 PM [ Flag | link to this post ]
        • you seem so...well informed.

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          11.19.09, 01:01 PM [ Flag | link to this post ]
        • And many of us are willing to pay higher taxes in support of those big ideas!

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          11.19.09, 01:01 PM [ Flag | link to this post ]
          • np LOL. Wait 'til you're lined up at a walk-in clinic waiting for primary care...

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            11.19.09, 01:21 PM [ Flag | link to this post ]
            • Wait, until you turn on your brain and realize that THAT is already happening across the country!!! If your lack of information weren't so pathetic, you would at least be laughable. Twit.

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              11.19.09, 01:25 PM [ Flag | link to this post ]
            • you realize that many countries with universal healthcare still have privately owned clinics/hospitals/practices, right? the average wait times in germany are less than in the US.

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              11.19.09, 01:26 PM [ Flag | link to this post ]
              • And in Canada it's nearly impossible to find a GP if you move to a new city.

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                11.19.09, 01:30 PM [ Flag | link to this post ]
                • obviously there are different ways to do things, and you needn't assume that the service we get would match the worst characteristics of other countries--that was my point! medicare patients are usually very happy with the service they receive.

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                  11.19.09, 01:32 PM [ Flag | link to this post ]
                • HUH? I live in a Canadian city where everyone is always bemoaning the lack of GPs. Yet, the problem is a lot more structural than it is one of numbers. The GPs are there, but there is no simple way to match a GP to a patient. That's the real issue with universal healthcare: very difficult system to manage efficiently. But that's the same with private healthcare as well, Americans don't seem to believe that private insurance makes the system easy to navigate.

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                  11.20.09, 10:14 AM [ Flag | link to this post ]
            • tons of people can't even get primary care if they were willing to stand a in long line. to them that would be a big improvement!

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              11.19.09, 01:27 PM [ Flag | link to this post ]
      • NP: We have the most wasteful medical system in the world, and it takes up a greater percentage of our GDP, with worse outcomes, than in any other country. Lack of access to preventative care/early intervention helps drive these costs and poor outcomes.

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        11.19.09, 01:00 PM [ Flag | link to this post ]
        • And limiting things like mammograms for women in their 40's is going to do a lot to increase early intervention. This is an example of what government involvement and control is going to be like... wake up people!!

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          11.19.09, 01:06 PM [ Flag | link to this post ]
          • That is one case where early intervention has been proven to be more harmful than good. So early intervention when proven to be effective is what I should have written! Intervention for intervention's sake is a major problem.

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            11.19.09, 01:08 PM [ Flag | link to this post ]
      • the cost could easily be made up by stopping the wars of choice we continue to pursue

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        11.19.09, 01:57 PM [ Flag | link to this post ]
    • This is UrbanBABY. You need to go find a political site that you can rant on b/c people here do not come here to listen to your political POV

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      11.19.09, 01:43 PM [ Flag | link to this post ]
    • op - Saw an interesting op ed in the NYT today that echos some of these same points and especially highlights the arguments made against the introduction of social security and medicare when they were introduced: http://www.nytimes.com/2009/11/19/opinion/19kristof.html

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      11.19.09, 02:43 PM [ Flag | link to this post ]
    • OK and I'll bet you're the first to complain that you won't be able to get a mammogram until your 50. That's just the begining. I'm sure under healthcare reform there will be many new studies that say you don't need the exsisting care you already receive.

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      11.20.09, 08:56 AM [ Flag | link to this post ]
      • What is wrong with you people? Nobody is saying that you CAN'T get a mammogram until you are 50. A committee that studied the effects of screening via mammogram found the benefits from 40-50 were outweighed by the negative effects. Thus, they are advising against the routine use of yearly mammograms before 50. If anyone had any indication of NEEDING a mammogram before 50 (high risk for whatever reason, found lump, etc.) they can certainly get them under these recommendations.

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        11.20.09, 09:06 AM [ Flag | link to this post ]
      • I don't understand why proving people don't need the care they are receiving is a BAD thing? I mean ideally we'd have a system where we don't actually give people the care until we prove that they need it, but absent that, what are we supposed to do? Go on doing the wrong thing forever because we screwed up when we originally recommended it?

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        11.20.09, 09:28 AM [ Flag | link to this post ]
    • For what it's worth, Lincoln was a republican. Also, Strom Thurmond led a walk-out of southern democrats in 1948 and ran against Truman as a Dixiecrat. BTW, does you DC go to public or private. If you really wanted diversity, you would be in public. Your arguments are nothing more than bloviating hypocrisy.

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      11.20.09, 09:20 AM [ Flag | link to this post ]
      • NP: Wow. You realize, I hope, that what the republican party (and democratic party) stand for has changed a lot over the years? What exactly were those statements supposed to illustrate? And where on earth did the public/private school thing come up in THIS post? BTW, my child does go to public and I'm not sure why you would assume that OP's does not. What that has to do with healthcare reform, I am not sure.

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        11.20.09, 10:18 AM [ Flag | link to this post ]
  • [-]I have rheumatoid arthritis. Do I need a high risk OB? Any suggestions for specialists in autoimmune disorders and pregnancy.

    11 replies [ Reply | Watch | Options ]
    11.19.09, 09:07 AM [ Flag ]
    • What does your rheumatologist think?

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      11.19.09, 09:16 AM [ Flag | link to this post ]
      • He doesn't think it's a foregone conclusion. My regular OB/GYN gave me a referral for an MFM specialist, though she's at Beth Israel and a friend had a really bad experience there. I'm looking elsewhere, and wondering if anyone out there has a subspecialty in autoimmune diseases. Anyone else out there w/ RA...what did you do?

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        11.19.09, 09:24 AM [ Flag | link to this post ]
    • I have RA- had two pregnancies- luckily in both I was great with no meds but fish oil. Went to high risk after reading study that suggested RA patients had higher rates of preeclampsia (though not that much higher) and pretty significantly higher rates of IUGR. Had more monitoring at the end because of the increased IUGR risk and also was not allowed, by my high risk doctor, to go more than 41 weeks because she said there was risk of placenta detrioration beyond the normal amount when you go past the due date. My rheum said high risk wasn't necessary, but another rheum I saw during pregnancy (that had privileges at the hospital I was delivering at) thought it was a wise move. Lupus pg's are obviously more high risk and I think anyone wi...

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      11.19.09, 09:46 AM [ Flag | link to this post ]
      • That's great you were in remission. I'm new here - what's IUGR? Are you in NYC? If so, do you recommend your high risk OB? Also, were you on any TNF meds prior to conception? How before trying did you go off? This is one thing that I can't seem to find anything resembling consensus on...For MTX it's 3 months, but that is a LONG time to go w/o anything...Thanks.

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        11.19.09, 02:12 PM [ Flag | link to this post ]
        • OR here- I was on Kineret, a biological but not a TNF inhibitor. I dropepd to only Kineret and fish oil, stopped NSAIDs and plaquenil and sulfaslazine. My rheum said the Kineret left my system so quickly that he said I coudl take up until a positive home pregnancy test. SO I always tested super early. Ended up needing IVF, so I actually stopepd the Kineret two days before egg retrieval.

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          11.20.09, 08:43 AM [ Flag | link to this post ]
          • With pg number 2, got pregnant naturally first month trying, tested super early and got the faintest positive about 9-10 days after ovulation, and stopped kineret then. My RE, OB, and Rheum never had a probalem with just staying on Kineret and stopping it super early in the pregnancy.

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            11.20.09, 08:46 AM [ Flag | link to this post ]
          • on my second pg, it happened naturally, I was on Kineret while trying and stopped it at 9-10 DPO when I got the faintest positive on a pg test. RE< OB< and rheum never had issues with me being on Kineret while trying.

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            11.20.09, 08:47 AM [ Flag | link to this post ]
        • As for IUGR - google it-

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          11.20.09, 08:50 AM [ Flag | link to this post ]
    • I have RA, and intentionally went off Remacaid to get pregnant. Tried a # of times earlier, but couldn't last off meds for 3 mos. Over 40, severe RA, did not need a high risk OB (even though I hit that category in 2 areas; age and disease). Textbook pregnancy, pain free for 9 months, and back needing meds nearly a week after I gave birth. She's beautiful, smart and worth every bit!!! GL!

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      11.19.09, 03:36 PM [ Flag | link to this post ]
      • Good to hear. Not the part about not being able to go w/o meds...but the remission part, and the beautiful baby part.

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        11.19.09, 08:40 PM [ Flag | link to this post ]

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