[ccm-l] Employment and benefits manipulations
Anthony Caruso
Medic541 at hotmail.com
Mon Apr 9 19:26:51 BST 2007
Pr=A8=BAt, I beg your pardon. I have worked in areas that indeed do =
have such
amenities at home. How aggravating it is when they present to you the =
card
that for them fixes everything. And not have to worry any consequence
what's so ever of there actions. The "disabled" man or woman that has =
no
steady job that uses his Mass health card in the EW cause of his "tummy
ache". And in the end doesn't have to worry about a copy or that his
insurance for family coverage costs 150 dollars a week.
Honest, Poor working families? Yeah I know they exist. They know how =
to
restrain themselves from buying the latest Motorola razor phone or the =
play
stations. Concocting an upside to poverty is not my point. However, =
the
next time you see an ambulance pull in to the bay. Take the folks to =
the
side and ask them if they have ever heard of such a story that I have
presented. =20
You work in a big city hospital I assume. How many times dose this
happen? Plane load of immigrants lands from the airport. Give the =
Triage
nurse something vague that there kids are experiencing like oh, umm
"headache" for instance. What a coincidence, all of there children have =
the
same signs and symptoms. You know as well as I do that they get a warm =
meal
and a full work up. =20
My Father came here from Italy, made himself a good reputation as a
landscaper. Not once, EVER did he take a hand-out from the government. =
Go
figure! Didn=A1=AFt speak a lick of English and today owns his own =
business. I
agree that the 99% may be a bit exaggerated but I'm not way off.
-----Original Message-----
From: trauma-list-bounces at trauma.org =
[mailto:trauma-list-bounces at trauma.org]
On Behalf Of Bjorn, Pret
Sent: Monday, April 09, 2007 8:59 AM
To: Trauma & Critical Care mailing list
Subject: RE: [ccm-l] Employment and benefits manipulations
For the love of Christ. Listen to yourselves. =20
How easy it is to concoct an upside to poverty, and to fatten the lore =
of
welfare manipulation with tales of widescreen televisions and sports =
cars,
while something like 37 million Americans struggle to feed, clothe, and
shelter themselves while for the most part cheating no one, and asking =
for
little or nothing, often to their silent and invisible deaths. =20
" ...99% of them have a huge entertainment system of some kind. All of =
the
fancy gadgets included. Hi-Def surround sound, hi-def flat screen TV =
and
hi-def whatever!... "
This is more than an exaggeration; it's a reprehensibly malevolent lie,
clearly penned by someone who hasn't the most remote familiarity with
America's honest poor, most of whom work at least as hard as he does:
families forced to choose between filling a prescription and paying the =
rent
or buying food; who tolerate their illnesses because they can't afford
insurance and going to a doctor would bankrupt them -- or worse, force =
them
into welfare. =20
How seductively satisfying, the myth that those of us with proper =
education
and good jobs and warm homes and weekly restaurant tabs and hyperactive
Netflix accounts are somehow victims of the needy. How utterly obscene =
to
ignore the corporate welfare shoveled into U.S. energy and =
pharmaceutical
and insurance interests, or our half-trillion-dollar debacle in the =
desert,
while enthusiastically shitting on families of four making under $20k =
per
year. =20
Let's use the crackhead with the Playstation to quantify the creeping
failure of our civilization. =20
How can we not be sick of ourselves?
Pret Bjorn, RN
Bangor, ME USA
-----Original Message-----
From: trauma-list-bounces at trauma.org =
[mailto:trauma-list-bounces at trauma.org]
On Behalf Of RWolfer at aol.com
Sent: Sunday, April 08, 2007 8:55 PM
To: trauma-list at trauma.org
Subject: Re: [ccm-l] Employment and benefits manipulations
=20
In a message dated 4/8/2007 11:42:32 AM Eastern Daylight Time, =20
medic541 at hotmail.com writes:
I have to agree with some of the posts with Dr. Mattox For many years =
now
I=20
=20
have gone into some of the sate funded housing for people that cannot =
pay =20
for housing themselves. No matter who you talk to whether it would be =
a=20
Firefighter, Paramedic or police officer the one thing that all agree =
on is
that upon entering the homes of such people is 99% of them have a huge=20
entertainment system of some kind. All of the fancy gadgets included. =
Hi-Def surround sound, hi-def flat screen TV and hi-def whatever! Upon =
transporting such individuals the first thing that they present is the
State=20
funded health card. ( I.E medicare or in Massachusetts Medicaid.) We, =
the
hard working tax payers, pay for all of there leisure and time=20
off. If you collect all of this free care free this and free that what =
incentive do you really need to have to get off of public assistance? =20
Public assistance has become a way of life for some. Not a way out as =
is=20
was intended to be. You have to admit, Dr. Mattox has some valid =
points.
Anthony Caruso EMT-P Natick, Massachusetts.
>From: "Ronald Gross" <Rgross at harthosp.org>
>Reply-To: "Trauma & Critical Care mailing list"
><trauma-list at trauma.org>
>To: "Trauma & Critical Care mailing list" =
<trauma-list at trauma.org>
>Subject: RE: [ccm-l] Employment and benefits manipulations
>Date: Fri, 06 Apr 2007 13:38:02 -0400
>
>Actually in that case hypocritical would be the term, not cynical. I=20
>hold those upscale hypocrites in the same light as all the others who=20
>want to take everything from everyone and give nothing to anyone.
>
> >>> "Offner, Patrick" <PatrickOffner at Centura.Org> 4/6/2007 1:33 PM=20
> >>> >>>
>But those same upscale individuals DON'T want to pay for their routine =
>and emergent medical care. In fact, many do not have insurance because =
>they would rather have a BMW or a large flat screen TV. Yes--getting=20
>cynical.
>
>-----Original Message-----
>From: trauma-list-bounces at trauma.org=20
>[mailto:trauma-list-bounces at trauma.org] On Behalf Of Ronald Gross
>Sent: Friday, April 06, 2007 10:13 AM
>To: Trauma & Critical Care mailing list
>Subject: RE: [ccm-l] Employment and benefits manipulations
>
>Lets be real here - how many of the indigent patients that receive=20
>free medical care pay for their root canals? In fact, how many=20
>actually have any dental care at all? None. They go to the free=20
>clinics at the large city hospitals and get their free dental care=20
>(that we all pay for), while the dentists you talked about continue to =
>serve their upscale suburban families 3-4 days a week and go to their=20
>country homes the other 3-4 days per week. Same with the "cosmetic=20
>surgeons" or "sports medicine" ortho guys who do their jobs in nice=20
>self-owned and self-build private clinics and get paid cash by the=20
>dentist who blew out his knee and messed up his nose while skiing at =20
>Vail.
>
>Cynical, are we???
>
> >>> "Offner, Patrick" <PatrickOffner at Centura.Org> 4/6/2007 11:47 AM
> >>>
>Yes, but it was easier to justify providing some indigent care(say=20
>10%) when reimbursement for non-indigent care was reasonable and=20
>appropriate. Now that we have to work 3-10 times as hard to earn the=20
>same income--in the face of inflation and rising malpractice fees--it=20
>seems harder to swallow the "forced" indigent care we have to provide. =
>It seems that at least 50% of the trauma and emergency general surgery =
>I see in the ED is uninsured. We still give them excellent care but it =
>is getting harder to swallow.
>The dentists somehow seem to have gotten it right. They get 50-80%
>reimbursement on the billings and charge the patient for the rest. And
>the patients are willing to pay for the rest. Most dentists that I =
know
>only work 3-4 days per week, rarely take call and make a lot more =
money
>than I do. We on the other hand get about 30-40% of what we bill and =
are
>contractually prevented from balance billing the patient. Moreover, =
the
>patients now EXPECT to get their care for free. Why are they willing =
to
>pay for their root canal but not for their emergency appendectomy or
>their elective colon cancer resection?
>
>-----Original Message-----
>From: trauma-list-bounces at trauma.org=20
>[mailto:trauma-list-bounces at trauma.org] On Behalf Of Ronald Gross
>Sent: Friday, April 06, 2007 8:54 AM
>To: Trauma & Critical Care mailing list
>Subject: RE: [ccm-l] Employment and benefits manipulations
>
>Tort reform, insurance company executive salaries, drug company "R&D"=20
>costs, etc - all part of the solution. Not part of the solution - a=20
>free lunch and an excuse for all of the "disenfranchised" whether=20
>their condition is self-imposed or "imposed by others" whoever those=20
>"others" might be......
>
> >>> "Offner, Patrick" <PatrickOffner at Centura.Org> 4/5/2007 6:46 PM=20
> >>> >>>
>Dr. Mattox,
>
>While I agree with you almost 100%--don't you believe that insurance=20
>costs are also out of control--to the point that a lot of people just=20
>cannot afford them. Your "fix" is just the tip of the iceberg--we also =
>need insurance reform as well as tort reform--it is all intertwined.
>
>-----Original Message-----
>From: trauma-list-bounces at trauma.org=20
>[mailto:trauma-list-bounces at trauma.org] On Behalf Of KMATTOX at aol.com
>
>Sent: Thursday, April 05, 2007 3:01 PM
>To: trauma-list at trauma.org
>Subject: Re: [ccm-l] Employment and benefits manipulations
>
>
>In a message dated 4/5/2007 3:48:23 P.M. Central Daylight Time,=20
>thoran at sarah. br writes:
>
>Of the 30 -40 million US uninsured how many are the fast driving drug =
>addicts, or lazy, obese cigarette smokers whom you abhor and how many =
>of them are ordinary folks, the people who are apparently easy for =20
>you to dismiss , the
>working poor, in jobs that need filling but just don=A5=D5=A1=B7 get =
paid very
>well , certainly not enough to part with 1,200 a month... maybe the
>receptionist or the cleaner or the guy in the parking garage, people =
who
>just do NOT appear on your radar because they do NOT read a novel a
>week, do NOT know the right people, do NOT belong to the right
>organizations, did NOT go to the best schools. Never mind Dr. =
Crippens
>friend but what about the disabled, the folks in the other car, the
>unemployed, the unemployable, good cannon fo dder but No FREE LUNCH.
>Never mind that the free lunches are served up in corporate board
>rooms every where, provided by the moms and pops investing in the =
great
>enterprises that won't provide health insurance.
>
>
>
>In every society, and especially at the local level, provisions are=20
>made for
>the kind of persons you cite above. Many local good examples =
exist.
>
>
>These same individuals do not have state sponsored lawyer aid,=20
>housing aid,
>church aid, food aid, family counseling, cell phones, etc. Why must
>or should
>health care be any different. MANY MANY of the persons you cite
>above CHOOSE
>to not have health dollars available in order to pay for cell phones,
>send money back to family in another country, have a late model car,=20
>drink alcohol every day, go to cock fights, and have somewhat=20
>expensive watches and designer
>glasses. I see them every day, and then they expect FREE medical
>care.
>WRONG. One cannot have it both ways. If they go to church, the
>priest
>EXPECTS them to put something in the collection plate and even pay for =
>some of their absolution by giving to the church (up to and greater=20
>than 10% of their
>income). If they need to go to court, they must pay for an
>attorney.
>
>
>I have NO problem for fairness with a prorated calculation of a=20
>discounted bill based on disability, inability to work (real, and not=20
>just a matter of a created social welfare state to pay someone NOT to=20
>work), and a feeling of responsibility for ones own services, whatever =
>they might be. It is not the state or the employers responsibility=20
>to assure that everyone is provided all creature comforts from the =
cradle
>to the grave. That is a family and an individual responsibility. =
The
>governmental responsibility is to protect, NOT
>PROVIDE.
>
>We in every society MUST also address the HUGE profits from insurance=20
>companies, HMOs, and hospitals whose overhead and payments to upper=20
>level
>management and stockholders are obscene. The persons who have =
been
>unfairly
>burdened with the financing of individual health care has become the=20
>employer, and that is the most unfair of all systems.
>
>Kenneth
>L. Mattox, MD
>Houston
>
>
>
>************************************** See what's free at=20
>http://www.aol.com.
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Ithink that this was intended to be a way of "getting folks thru" but is
now=20
a way of life. We have become a society of entitlement and "I deserve =
and
I need" instead of I worked for this. there are now generations upon =20
generations of this. Some of us were raised to work for what we got and
pay our own=20
way. I think the only way to change this is to stop it and make people
work=20
for what they get. there is plenty of work out there, cleaning =
roadsides,=20
taking the elderly to appointments ect. We see traumas hurt on ATVs or
drunk=20
driving all the time who are on disabiltiy for whatever reason. I =
think
that=20
if you can drive a car or ride an ATV you can work. there is a job for =
everyone. Heck, McDonalds hires folks with Downs all the time. They =
are
often the=20
hardest workers and very proud of the fact that they have a job and can =
contribute. I think if you get welfare or medicare you need to do
something for=20
it. You dont get something for nothing. Unfortunately we need to =
change=20
generations of thinking. We are , as a country and as individuals, =
going
broke=20
working so that others can sit around and do nothing. Some of them =
drive=20
better cars and have better TVs ect than those of us that work our =
tails
off.
=20
RW
************************************** See what's free at
http://www.aol.com.
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