Democratic Primaries

Midnightwalk

(3,131 posts)

18. Overuse is an interesting problem

Sun Feb 16, 2020, 01:39 PM

Feb 2020

Here’s an interesting article. Most of it is about overuse of diagnostic tests, hospitalizations, treatments , but it does include what they call

Site of care delivery

The site of care delivery and the intensity of care provided are relevant to overuse since more intense care poses greater risk of complications (and is more costly).

...

Many of these variations are particularly striking with regard to “ambulatory care-sensitive” conditions, or conditions for which high-quality primary care is likely to prevent the need for hospitalization.

[link:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5708862/|]

I didn’t dig to see how the US stacks up, but bad examples in the US are sited in the article.

I don’t know prevalent it is outside of the US for people to go to the ER when primary care or urgent care is more appropriate.

In the US people without insurance have no other choice. Universal coverage would help that but we may need some prods to get people to use the right resources. In populated areas being able to say “walk down that hall over there and make a left and you’ll be in urgent care” might work. I’m sure there’s a law suit reason we can’t do that.

Charging 50 dollars more for the ER and just saying urgent care is 100 yards away and cheaper is maybe enough.

With where we are, 50 bucks for an ER visit would be great.

If I were to vote in a presidential
primary today, I would vote for: Joe Biden

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Biden:' 'He's been talking about Medicare for all for 35 years. Nothing's happened..' [View all] Scurrilous Feb 2020 OP

Vermont flatly rejected a version of "Medicare for all" because it was too expensive..... George II Feb 2020 #1

It can't work statewide, particularly in a small state. CTyankee Feb 2020 #2

Just about all of those countries also have private insurance available and.... George II Feb 2020 #4

You're asking millions of people to take a chance by giving up what OnDoutside Feb 2020 #8

actually, no, I'm not, even tho it can work. At this point, it's too late to ask that. CTyankee Feb 2020 #13

Of course it CAN work, but it can't work when at least 43% of the voting public vote for a party OnDoutside Feb 2020 #33

Canada has approx 38 million citizens. UK approx 66 million. boston bean Feb 2020 #11

California and Colorado backed off once they studied the costs. Legislators didn't have guts to Hoyt Feb 2020 #14

No it isn't obvious at all Midnightwalk Feb 2020 #15

Your statements are contradictory. Blue_true Feb 2020 #38

wonderful history! I think you are right about Europe. However, we are alone in the entire CTyankee Feb 2020 #39

I believe that like minded states banding together to set up their own system will Blue_true Feb 2020 #41

If he does, after godhelpus he gets reelected, it will be a great tool in our ads against him. CTyankee Feb 2020 #44

Difficult to provide a healthcare system that was hijacked by wall street democratisphere Feb 2020 #3

You can't make everything free bucolic_frolic Feb 2020 #5

Yikes! Laelth Feb 2020 #7

Canada has approx 38 million citizens. UK approx 66 million. boston bean Feb 2020 #12

Have the Canadians been asked whether they would like our health care system? CTyankee Feb 2020 #16

Not that I know of. boston bean Feb 2020 #17

Britain has been privatizing. Don't cite them at least. Their healthcare is a nightmare. emmaverybo Feb 2020 #27

Overuse is an interesting problem Midnightwalk Feb 2020 #18

That's so true. Actually in the UK (and Ireland), they brought in a prescription charge to make OnDoutside Feb 2020 #34

Credit where it is due. Laelth Feb 2020 #6

What I don't like is when someone uses M4A as a cudgel against other candidates. Scurrilous Feb 2020 #20

I hear that and agree with the sentiment. n/t Laelth Feb 2020 #21

Thanks. Scurrilous Feb 2020 #24

And when this goes nowhere the DAMAGE that it will do to the Democratic party will be mighty. nt UniteFightBack Feb 2020 #9

To be truthful Biden, not a lot has happened in the last 35 years for average and poor America. Autumn Feb 2020 #10

Republicans lost so badly in the midterms largely because of the damage they did to the ACA, and OnDoutside Feb 2020 #35

Joe was great on Meet the Press Gothmog Feb 2020 #19

Good to know! Cha Feb 2020 #22

There was concern expressed on another thread that he looked tired. Scurrilous Feb 2020 #28

They were talking out of the left side of their butt. That was clear and to the point. OnDoutside Feb 2020 #36

Yep. Scurrilous Feb 2020 #37

Thoughtful. Genuine. Relates the big picture. Not policy-bound, strapped to a suite of plans emmaverybo Feb 2020 #29

The Revolution comes first. dalton99a Feb 2020 #23

Per minute? Scurrilous Feb 2020 #25

Joe's timing is off to make this claim now Tom Rinaldo Feb 2020 #26

His timing is perfect. He needs to score in Nevada. Fair for Bernie to make points against emmaverybo Feb 2020 #30

Oh of course Biden needs to "differentiate" now and it is absolutely fair for him to do so. Tom Rinaldo Feb 2020 #31

Maybe if Joe and other Democrats had been fighting for it too instead of Sanders being the loan wolf Quixote1818 Feb 2020 #32

Affordable Care Act, anyone? If this country had the sense God gave a flea & elected a Dem Senate Hekate Feb 2020 #43

If they couldn't even pass Obamacare with a public option TexasBushwhacker Feb 2020 #40

Rainbows and unicorns... the usual Burnie bull$hit. Still In Wisconsin Feb 2020 #42

What an asinine statement. Act_of_Reparation Feb 2020 #45

President Obama landed on the moon March 23, 2010. Scurrilous Feb 2020 #46

I agree with Joe DesertRat Feb 2020 #47