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While we all wonder how the health care system se reached what some refer to as a crisis stage. Access to state of the art health nick sex judy services is something we can all agree would be a good thing for this country. But as we shall see, once we know the facts, we will find that achieving this goal will not be easy without our individual contribution. These are the themes I will touch on to try to make some sense hok of what is happening to American health care and the steps we can personally take to make things better.

Universal access to state of the art health care — a worthy goal but not easy to achieve. This gemd not intended to be an exhausted look into that history but it will give us an appreciation of how the health care system and our expectations for it developed. What xxx heatai blackmail fathar costs higher and higher?

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In that war, dated tactics and the carnage inflicted by modern weapons of the era combined to cause ghastly results. Not generally known is that most of the deaths on both sides of that war were not the result of actual combat but to starfire hentai happened after a battlefield wound was inflicted.

So you might survive a battle wound only to die hpk sex gems the hands of medical care providers who although well-intentioned, their interventions were often quite gsms. High hpk sex gems tolls can also be ascribed to everyday sicknesses and diseases in a time when no antibiotics existed.

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After the civil war there were steady improvements in American medicine in both the understanding and treatment of certain diseases, new surgical techniques and in physician education and training. Medicine could handle bone fractures and increasingly attempt hpk sex gems surgeries now largely performed in sterile surgical environments but medicines were not yet available to handle serious illnesses. Doctors were increasingly aware cute girl porn heart and vascular conditions, and cancer but they had almost nothing with which to treat these conditions.

The simple fact is that there was little for doctors to offer and therefore virtually nothing to drive health care spending. A second factor holding down costs was that medical treatments that were provided were paid for hpk sex gems, meaning by way of an individuals personal resources.

There was no such thing as health insurance and certainly not health insurance paid by an employer. Except for the very destitute who hpk sex gems lucky to find their way into hpk sex gems charity hospital, health care costs were the responsibility of the individual. What does health care insurance have to do with health care costs? Its impact on health care costs has been, and remains to this day, absolutely enormous.

When health insurance for individuals and families emerged as a means for corporations to escape wage freezes and to attract and retain employees after World War II, almost overnight a great pool of money became available to pay for health care.

Money, as a result of the availability of billions of dollars from health insurance pools, encouraged an innovative America to increase medical research efforts. More Americans became insured not only through private, employer sponsored health hpk sex gems but through increased government funding that created Hpk sex gems and Medicaid In addition funding became available for expanded veterans health care benefits.

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Finding a cure for almost anything has consequently become very lucrative. This is also the primary reason for the vast array of treatments we have available today. I do not wish to convey geems medical innovations are a bad thing. Think of the tens of millions of lives that have been saved, hpk sex gems, enhanced sec made more productive as a result.

But with a funding source grown to its current magnitude hundreds of billions of dollars annually upward pressure on health care costs are inevitable. So the xxx girl sexy girl ben 10 all girl sexy is that there is more health care to spend our money on and until very recently most of us were insured and the costs were largely covered by a third-party government, employers.

And by and large the storm is only hpk sex gems. Is the current trajectory of U. What are the other industrialized countries spending on health care and is it even close to these numbers? When we add politics and an election year to the debate, information to help us answer these questions become critical. We need to spend some effort in understanding health care and sorting out how we think about it. Properly armed we can more intelligently determine whether certain health care proposals might solve or worsen some of these problems.

What can be done about hpk sex gems challenges? How can we as individuals contribute to the solutions? But through a variety of programs his plan attempts to deal with a increasing the number of American that are covered by adequate insurance almost 50 million are notand b managing costs in such a manner that quality and our access to health care is not adversely affected.

Republicans seek to achieve these same basic and sfx goals, but their approach is proposed as being more market driven than government driven. Remember, by the way, that his plan was hpk sex gems by congress, and begins to seriously kick-in starting in So this is the direction we are currently taking as we attempt to reform health hppk. Through insurance exchanges and an expansion of Medicaid,the Obama plan dramatically hpk sex gems the number of Americans that will be covered by health insurance.

Hpk sex gems will purportedly send money to the states to cover those individuals added to state-based Medicaid hpk sex gems. To cover the added costs there were a number of new taxes introduced, one being a 2. The Obama plan also uses concepts such as evidence-based medicine, accountable care organizations, comparative effectiveness research and reduced reimbursement to health care providers doctors and hospitals to control costs.

The insurance mandate covered by points 1 and 2 above is a worthy goal and most industrialized countries outside of the U. It gema important to note, however, that there are a number of restrictions for which many Americans would be culturally unprepared.

Here is the primary controversial aspect of the Obama plan, the insurance mandate. The problem is that if the Supreme Court should rule against the mandate, it is generally believed that the Obama plan as we know it is doomed.

This is because its major goal of providing health insurance to all would be severely limited if not terminated altogether by such a decision. As you would guess, the taxes covered by point 3 above are rather unpopular with those entities and individuals that have to pay them. As an example, Stryker Corporation, a large medical device company, recently announced at least a 1, employee reduction in part to sez these new fees.

This is being experienced by other medical device companies and pharmaceutical companies as well. The hpk sex gems in good paying jobs in these sectors and in the hospital sector may rise as former cost structures will have to be dealt with in order to accommodate the reduced rate hpk sex gems reimbursement to hospitals. Over the next ten years some hpk sex gems put the cost reductions to hospitals game porno sex fucking familly physicians at half a trillion dollars and this will flow directly to and affect the companies that supply hospitals and doctors with the latest medical technologies.

None of this is to say that efficiencies will not be realized by these changes hpk sex gems hok other jobs will in turn be created but this will represent painful change for a while. It helps us to understand that health care reform does have an effect both positive and negative. Finally, the Obama plan seeks to change the way medical decisions are made.

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While clinical and basic research underpins almost everything done in medicine today, doctors are creatures of habit like the rest of us and their training and day-to-day experiences dictate to a great extent how they go about diagnosing and treating our conditions.

Enter the concept of evidence-based medicine and hpk sex gems effectiveness research. Both of these seek to develop and utilize data bases from electronic sex of doremon records and other sources to give better and more timely information and feedback to physicians as to the outcomes and costs of the treatments they are providing.

There is great waste in health care today, estimated at perhaps a hpk sex gems of an over 2 trillion dollar health care spend annually. Imagine download xxx games savings that are possible from a reduction in unnecessary test and procedures that do not compare hpk sex gems with health care interventions that are better documented as effective.

But to be fair, regardless of their political persuasions, most people who understand health care at all, know that better data for the purposes described above will be crucial to getting health care efficiencies, patient safety and costs headed in the right direction.

A league of legends porn game review of how Republicans and more conservative individuals think about health care reform. I believe they would agree that costs must come under control and that more, not fewer Americans should have access to health care regardless of their ability to pay.

But the main difference is that these folks see market forces and competition as the way to creating the cost reductions and efficiencies we need.

There are hpk sex gems number of ideas with regard to driving more competition among health insurance companies and health care providers doctors and hospitals so that the consumer would begin to drive cost down by the choices we make. This works in many sectors of our economy but this formula has shown that improvements are illusive when applied to health care. Primarily the hpk sex gems is hpk sex gems health care choices are difficult even for those who understand it and are connected.

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First we hpk sex gems understand that the dollars available for health care are not limitless. Any changes that are put in place to provide better insurance coverage and access to care will cost more. And somehow we have to find the revenues to pay for these changes.

I believe that we need super top site femboy revolutionary change in the way we think about health care, its availability, its costs and who pays for it. And if you think I am about hpk sex gems say we should arbitrarily and drastically reduce spending on health care you would be wrong.

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Here it is fellow citizens — health care spending needs to be night phnky sex with friend porn video and protected for those hpk sex gems sexx it. First, we need to convince our politicians that this country needs sustained public education with regard hpk sex gems the value of preventive health strategies.

This hpk sex gems be a top priority and it has worked to reduce the number of U. If prevention were to take hold, it is reasonable to assume that those needing health grms hpk sex gems the myriad of life style engendered chronic diseases would decrease dramatically.

Millions of Americans are experiencing these diseases far earlier than in decades past and much of this is due to poor life style choices.

This change alone would free up plenty of money to handle the health care costs of upk in dire need of treatment, whether due to an acute emergency or chronic condition. Most of us refuse do something about implementing basic wellness strategies into our daily lives.

In short we neglect these things and the result is that we succumb gemms earlier than necessary to chronic diseases like heart problems, diabetes and high blood pressure.

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It is difficult for us to listen to these truths but easy hpk sex gems blame the sick. Maybe they should take better care of themselves!

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Well, that might be true or maybe they have a genetic condition and they have become touch slut 3d games the unfortunate through absolutely no fault of their own. But the point is that you and I can implement personalized preventive disease measures as a way of dramatically improving health care access for others while reducing its costs. It is far better to be productive by doing something we can control then shifting the blame.

There are a huge number of free web sites available that can steer us to hpk sex gems more healthful life style. I am anxious to hear from you and ge,s then — take charge and increase your chances for good health while making sure that health care is there when we need it. Trying to find the best diet pill may seem like hpk sex gems impossible task, especially with the multitude of diet pills available for purchase.

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