UK unveils "super paramedic"

Never mind the Republican playbook, just look at what it costs the state of Massachusetts for its "universal healthcare". (4.2 Billion since its inception) Without huge subsidies of Federal money, the state would be bankrupt already, and we don't have the numbers of uninsured like California or Texas. If you extrapolate the cost from Massachusetts and apply it nationally, you'll quickly realize that the cost will quickly spiral out of control, unless of course we tax at 45-50%, not something I look forward to.
 
Oh.. and on top of that.. you think we make low salaries now? Wait til the government takes 40% of your paycheck instead of the 15-25% they take now and gives you a lower quality of healthcare.

I don't know how it works for you, but the government already takes about 40% of my paycheck.
 
I don't know how it works for you, but the government already takes about 40% of my paycheck.

Then you're not putting that 8 years in school to good enough use and making use of the creative tax loopholes my friend! :D
 
Never mind the Republican playbook, just look at what it costs the state of Massachusetts for its "universal healthcare". (4.2 Billion since its inception) Without huge subsidies of Federal money, the state would be bankrupt already, and we don't have the numbers of uninsured like California or Texas. If you extrapolate the cost from Massachusetts and apply it nationally, you'll quickly realize that the cost will quickly spiral out of control, unless of course we tax at 45-50%, not something I look forward to.

X2...couldn't ask for a better case study.

As for the "need transportation for money" argument:

There is an alternative solution to socialism that would allow for some sort of expanded treat-on-scene medic role: change reimbursement rules to allow for payment for care rendered on scene. I believe the model of "paying for care rather than transport" works just fine for every patient ever seen inside a hospital. As I recall, doctors who make house calls get paid as well....

Shocking, I know, but we don't need to go all USSR simply remove the financial incentive to transport a patient.

The issue of socialized medicine is separate (very separate..I have a hard time seeing how advanced care medics and socialized medicine are related at all), but in brief:

the problem in the US is largely thanks to the advent of managed care/HMO's, who take huge profit margins off of routine care that shouldn't involve insurance. Every routine physical, minor visit, etc. today is more expensive than it should be because HMO's take a bit of the pie and because physicians have to deal with an insane billing/regulatory environment which costs them time and money. Side note: the advent of managed care has a lot to do with government (our holy savior) encouragement via tax policy.

Manged care causes

-increased overhead for providers
-no incentive to patients to reduce their healthcare costs
-incentive for providers and hospitals to run as many tests and perform as many procedures as possible
-lack of access for the uninsured, made worse by the fact that the costs of care are higher for people not accessing care via an HMO (which often negotiate lower rates than available to the public)
-less availability of care/greater financial burden to people with chronic/pre-existing conditions
-less autonomy for physicians and erosion of the doctor/patient relationship when determining appropriate care

Socialized medicine doesn't fix the problems of managed care: it makes them worse. Oh, and for those of us in the U.S., there's one other biggie

It's unconstitutional! I know the Constitution is sort of an ignored irritant these days, but I feel obligated to at least mention that teeny problem...
 
Never mind the Republican playbook, just look at what it costs the state of Massachusetts for its "universal healthcare". (4.2 Billion since its inception) Without huge subsidies of Federal money, the state would be bankrupt already, and we don't have the numbers of uninsured like California or Texas. If you extrapolate the cost from Massachusetts and apply it nationally, you'll quickly realize that the cost will quickly spiral out of control, unless of course we tax at 45-50%, not something I look forward to.

As a resident of MA and someone who is keenly interested in it's healthcare system, I am calling you out on this. Your figure of $4.2 billion is a wild exaggeration, if not a downright lie. To prove this I will quote from the nonpartisan Massachusetts Taxpayers Foundation,
The Foundation report concludes that state spending on the reform has increased by $350 million between fiscal 2006, the last year before reform, and fiscal 2010 - an average annual increase of only $88 million. Source: http://www.masstaxpayers.org/public...s_health_reform_the_myth_uncontrollable_costs
and as well from the NY Times
Massachusetts’s experiment in near universal health care coverage has become a favorite whipping boy for opponents of health care reform. They claim the program is a fiscal disaster and that the whole country will be plunged into a similar disaster if President Obama and Congress’s Democratic leaders have their way. That is an egregious misreading of what is happening in Massachusetts.

The MA plan costs only $350 million, not $4.2 billion. Where in the world did you think up of such numbers? Additionally, MA plan is NOT state-run health care. Everyone who signed up for health insurance did so through a private health insurance company- like Blue Cross, Network Health, etc. Their revenues in MA have gone through the roof and they are very happy to be doing business here.

So, anything more from the Republican playbook that we can easily debunk?
 
As a resident of MA and someone who is keenly interested in it's healthcare system, I am calling you out on this. Your figure of $4.2 billion is a wild exaggeration, if not a downright lie. To prove this I will quote from the nonpartisan Massachusetts Taxpayers Foundation,
and as well from the NY Times

The MA plan costs only $350 million, not $4.2 billion. Where in the world did you think up of such numbers? Additionally, MA plan is NOT state-run health care. Everyone who signed up for health insurance did so through a private health insurance company- like Blue Cross, Network Health, etc. Their revenues in MA have gone through the roof and they are very happy to be doing business here.

So, anything more from the Republican playbook that we can easily debunk?
Extremely well said. I love putting forth the facts when the old republican playbook opens up. The truth will set you free.
 
That was the cost to Mass, doesn't include the federal part. Tim Cahill, the state treasurer, the guy who keeps the books came up with the figure. You can check his references, I don't have time to cut and paste right now.
 
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That was the cost to Mass, doesn't include the federal part.

If you read the report then you will have a much better appreciation for it and further realize that your $4.2 billion figure does not exist in reality.

Massachusetts HealthReform: The Myth of Uncontrolled Costs Source: http://www.masstaxpayers.org/files/Health care-NT.pdf

Based on actual and projected spending data for the first four years of health care reform, the Foundation concludes that state budget spending on health reform has grown from a base of $1.041 billion in fiscal 2006 to a projected $1.748 billion in fiscal 2010. That is an increase of $707 million, half of which is supported by federal reimbursements. The $353 million state share translates into an average yearly increase of only $88 million (see Table 2, p.6).

Half of $707 million is $353.5 million. This is the total amount that the federal government has contributed to the MA plan. Again, not $4.2 billion. Not even close.
 
Like Patrick, Baker cited a report issued last year by the Massachusetts Taxpayers Foundation, a business-backed watchdog group, that found the cost of the law to state taxpayers is about $88 million a year, less than four-tenths of 1 percent of the $27 billion state budget.
Just to play devils advocate though,
Here is a link to guy speaking on how it could wipe out the economy. http://www.boston.com/news/local/ma...report_mass_hospital_costs_on_the_rise_again/
Anyway...

anymore feedback on the UK super paramedic? Sounds like a PA doing house calls to me with a different title
 
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This super medic sounds pretty cool though. Think about it what a great career builder. Start your career as an EMT, then paramedic, then super paramedic. I have to tell you if you love medicine and have been doing EMS more than say 10-15 years this kind of upgrade sounds really cool. Again this kind of position is needed in a system that does not need to transport everyone.
 
FLEMTP,

Thank you for your counter argument. The only problem with it is you are simply re-stating the old republican playbook.

First of all canadians are very happy with their healthcare system. This standard statement of pointing to the canadian system as an example of how bad "socialized medicine" is bogus. See the article below:

http://new-canadian.blogspot.com/2009/07/shocking-poll-canadians-happy-with.html

Secondly, you indicate that salaries will be reduced. This is pure speculation on your part. You have no idea what will happen with salaries. You are simply stating your opinion as a fear tactic. Lets again look at some factual information. Here are what paramedics are making in the UK.

http://www.prospects.ac.uk/p/types_of_job/paramedic_salary.jsp

Roughly they are making 30-50 thousand per year with better benefits than us. So certainly not 40% less than what we are making now.

Your third ascertion is that 55% oppose Obamacare. This statistic may actually be correct. Because if you listen to either side of the argument through the media you are inclined to just vote party lines. Which the country is politically split right down the middle right now. Secondly, many who originally were in favor of the early proposals were for the bill and after changes have decided to now oppose it. Unfortunately the bill has been so compromised many have just decided to vote against it.

And finally you believe that the advanced practice paramedic will still evolve in our system of healthcare. Well I have to tell you. When I first became a paramedic back in 1990, we would frequently talk about this subject and we would often point to the future when PA's would be riding the ambulances so that we could make emergency ambulance efficient so we could run real emergencies. Well that day is still coming. Again this day will never come in our current system of transport re-imbursement.

ok.. I used to work in detroit.. which shares a very large and very active border with Windsor, Ontario. If the canadian healthcare system is so great.. then why are people in Canada having STEMI's, then signing out AMA from the ER's in canada, and driving across the border into detroit, and calling 911 to get treatment? Oh.. wait.. its because they dont have immediate access to the same type of emergency treatments we do here. They have literally been told by their doctors that they will be put on a waiting list for their "emergency" angioplasty.

Cancer patients come to the US in droves because they know they'll die before they get the treatment they need in Canada, if at all.

I mean even the former Quebec Premier Robert Bourassa avoided his country's own "free" health care and sought treatment in Cleavland for his cancer!

If a small minority of people want socialized medicine here so bad.. why not pack up and move to Canada, or England or one of the other countries that offer it? I mean, even you admitted that over half of americans are opposed to Obamacare, why are democrats willing to ignore what people want to further their own socialist agenda?

As far as the salaries being government controlled, it IS only a matter of time if this bill is passed. One of the BIG points of Obamacare is cost control. They have already started by decreasing medicare and medicaid payouts... Hell Walgreens wont even take new medicaid patients because of the reduced payouts. If a prescription costs 100 dollars, and medicaid will only give you 75 dollars, and not let you bill the patient for the remaining 25 bucks, then WHY would you want to continue to lose money and accept those patients? Decreasing reimbursement is the FIRST step.. controlling the cost of medical supplies is the second.. and then when costs are still sky high, the governement WILL start mandating how much people in medical professions are "allowed" to make. They may not do it with a flat out mandate, but if they decide that a paramedic is not supposed to make more than 40k a year, they will just impose ungodly high income taxes on incomes over 40k a year, calling it a "salary adjustment" tax. It IS a matter of time before that happens, and that is NOT speculation, it is looking at what democrats do on a historical basis and applying it in this situation!
Plain and simple, our government cannot even run the post office efficiently.... let alone health care. You want the perfect example? Talk to anyone that's a veteran and relies on the VA health system for medical care. Red tape, many treatments denied, and people not getting the healthcare they need.

Yeah, thats exactly what I want.:rolleyes:

Folks, this has nothing to do with a "republican playbook" it has to do with what the majority of the American people want... and it has to do with a select few people with an overwhelming sense of entitlement want to take from those who worked hard.

Oh and btw.. You gave me a story that tells how happy Canadians are with their health care?
Well here is one with the exact opposite view.
Socialized Medicine Leaves a Bad Taste in Patients' Mouths

Im sorry, but if you want health insurance, you are not entitled to it just by living here. You must get off your butt, and work hard like everyone else here. If an immigrant can come here with nothing, and work hard for what they have, so can you. If I can work hard for everything I have, so can you.

America is no longer the "land of opportunity" its quickly becoming the land of " come here, and complain because you dont have anything. Your government will take it from those who earned it and give it to those who didn't"

Social security and welfare and free health care is NOT what the founding fathers wanted for this country. It says NO WHERE in the constitution that it is the government's job to give you money when you have none. It IS the governments job to protect our nation from all enemies, foreign and domestic, not to play Robin Hood.
 
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It IS the governments job to protect our nation from all enemies, foreign and domestic, not to play Robin Hood.

One could argue it IS the governments job to protect its citizens period. But even if you are specific to enemies...
Do you consider obesity a domestic enemy? Because the government (Surgeon General) does

I am mixed on the issue and can see both sides.
 
This started off as an interesting topic, but it seems that it is turning into some catchphrase-ridden morass of sophistic, partisan conclusions based almost solely around certain users' political and psychological ingroupings. That is certainly not a competent style of communication.

Regarding this topic, it's interesting, but I wonder how effective/efficient it is? It would seem at first hand to require travel time on the part of the provider, instead of the other way around, which reduces overall availability. Does this increase the provider's unit downtime?

It seems odd to me to send them on "field" calls instead of simply placing them in a static location. Can it be that it is only efficient when it reduces the ER admittance rate?

Anyway, it still strikes me as less efficient than a centralized location would otherwise provide.
 
One could argue it IS the governments job to protect its citizens period. But even if you are specific to enemies...
Do you consider obesity a domestic enemy? Because the government (Surgeon General) does

I am mixed on the issue and can see both sides.


The government considers obesity to be an "enemy" so it can make a power grab and tell you what you are and are not allowed to eat... this country is turning into a nanny state. It is my god given right to eat until im obese if i so choose.

And just in case you were curious.. obesity is a medical condition, or a disease, brought on by unhealthy choices, not an "enemy" of the people.

And btw.. what the government is supposed to do is not open to arguement or debate.. its in black and white in the US constitution.. you should actually READ it sometime.. its interesting.
 
Anyway, it still strikes me as less efficient than a centralized location would otherwise provide.

People are still calling 911 despite the wide availability of low-cost urgent care centers. There are several populations of patients who would benefit from at-home care, such as the elderly, disabled, and children.

I would be interested to see if such a model of care also decreases the rate of nosocomial infections in a community.
 
People are still calling 911 despite the wide availability of low-cost urgent care centers. There are several populations of patients who would benefit from at-home care, such as the elderly, disabled, and children.

I would be interested to see if such a model of care also decreases the rate of nosocomial infections in a community.



That's why I posited that it must be solely based upon ER admittance rate post-911 call. I suppose that the only in a perfect world would such a "perfectly efficient" be truly so.

Ah, and I forgot that this does reduce the number of patient-provider contacts.
 
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