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Dottie
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Post by Dottie »

I agree.. But I don't agree in government contributing to these people.. I think charity should be voluntary.. And I still blame people if they can't get any charity and resort to these crimes..
Well, I fiercly disagree with you about government aid, but thats another topic. Regarding crimes, you can certainly blaim them, but regardless of whos fault it is its still destructive and can be avoided.
I haven't met any either, but in Florida these types would probably get the crap beat out of them by some rednecks.. There are only a few places in America liberal enough to warrant this stuff but DW is Canadian.
I still think its strange, like I said, Swedish culture is not known for its focus on responsibility for your own economic situation. Claiming that the goverment should support you is not very controversial here. Still, I have never met any beggar who fits the above description.
I don't take responsibility for anyone's problems but my own.. And I talk to people in financial trouble all day.. I work for a loan company..
Sorry, I caused some missunderstanding. I mean take responsibility for your own actions. It is very dangerous to call down the righteous hand of God on each and everyone, just to justify your own actions.
PS> I think most disability is a scam.. I know a lot of people on it that are perfectly capable of working.. I think those types when found should be jailed and forced to work off the money they stole from taxpayers..
I dont know about the US system here, so cant speak about how much of a scam it is...
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Post by C Elegans »

Another highly confusing statement, which seems contradictory:
jopperm2 wrote:I don't take responsibility for anyone's problems but my own..
But I don't agree in government contributing to these people.. I think charity should be voluntary.. And I still blame people if they can't get any charity and resort to these crimes..
So if I understand you correctly, disabled, ill or old people should live on other's peoples volontary charity, but the volontary charity should not come from you but from somebody else, since you refuse to take responsibility for anyone's problems? Furthermore, you blame needy people for not being able to get the charity they needed and resort to crimes instead, although you yourself is not prepared to participate in giving the charity who could keep them from crimes? If this is what you mean, I think you should count yourself in as one of the "parasites" you mentioned in previous posts.
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Post by Luis Antonio »

I dunno, I guess this thread has become something like "who is responsible for those who ask spare change"...

Anyway, Jopperm, yeah, I agree with CE, you've not stated that clearly, can you explain further?

[QUOTE=CElegans]Where do you live? In the industrial world, nature householding does not work as it may do in agricultural or native cultures, the economy and society is money based, you must have money to rent a flat, to buy clothes, to buy hygiene articles, medicine, and other essentials. You cannot go to the landlord or to the hospital and pay in potatoes and sheep.[/QUOTE]

Agreed... but even in industrial world, some people abandon theyr own resources on potatos and sheep to search for money in the big cities. So, sometimes, (not in florida, I guess) people will leave the barter (here I mean trade between two non monetary goods) for cash, but the barter still exists. And it is very common outside the great citys.
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Post by Chanak »

@Dottie: Since I work for a government agency responsible for regulating and overseeing a good deal of services and programs for the disabled, I'll try my best to describe the big picture as much as I can (here in the US, anyway).

The statement that "most disability is a scam" might have been true about 40 years ago, when most of these programs first came into being. Most people who were geniunely disabled had no clue that services and money to help them existed. Instead, the government at first launched these programs in larger cities, where infrastructure existed making it possible for program specialists to interview and assist applicants. Over time, the programs eventually spread out into harder to reach areas. However, like most things the regulations and codes which created these these programs didn't take into account the possiblity of fraud and abuse, which for some time was quite rampant. The opportunistic could get a "free ride" by going through the motions. Eventually uproar in the public and the media forced analysts to look at ways they could reduce the frequency of fraud and abuse in the programs designed to help the needy. The truly needy continued to be needy, and the opportunistic continued to receive funds meant for them.

I've had the opportunity to gain some insight into this as I support a team of analysts who are working on reforming some aspects of the legislation which the agency I work for uses to carry out its duties. I've spent hours referring to state and federal codes in preparing documents for them, which they use to present their findings to both federal and state government officials.

In a nutshell, you're damned if you do, and damned if you don't. In order to prevent fraud, you must make it more difficult for an applicant to become qualified for assistance. At the same time, you must also increase the oversight of care providers and private agencies who take part in the process. I'm not sure where some people are getting their information from, but it is much more difficult now to become qualified for any sort of government assistance than it was, say, 30 years ago. There's a tremendous process you must go through. It's this way because of the response to abuse and fraud.
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Post by Dottie »

@Chanak: I see, thats unfortunate. I think aid in this way must really be based on clinical criteria, rather than the applicants ardor when trying to battle the byrocracy. A similar problem exists here with healthcare, called "You have to be healthy to be ill". Dont know if its international or not, but it means you have to fight claws and teeth to get good treatment, wich ofcourse only a healthy person is able to do...
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Post by Magrus »

As to the fraud thing, I went through the process and I can tell you it's not at all easy to go through. I got stuck in a hospital for more than three months straight for psychiatric reasons, and that wasn't enough for them. It took them more than 4 months to review past medical history, review files, check up with doctors and see me in person to judge whether or not what was written down by doctors was true. Standard delay between when you apply and when you are approved or declined is 6 months, just to account for all the work which must go through, and to discourage those simply looking for an easy ride. The sheer amount of paper work sent to the case-worker I dealt with was mind-boggling. I remember filling out release forms for people I hadn't even seen or mentioned in more than a decade for medical things I went through as a child. If someone were to try to fake their way into the system, they'd have to fool a good number of people in the medical field. My opinion of many doctors I've met is low, but still, they generally can tell whether or not something IS truly wrong with even if they cannot find out exactly what it is thats wrong with you. Faking all those documents and finding people to play along with a scam like that would take a great deal of work.
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Post by Moonbiter »

This is the kind of argument that I can't honestly see the end of. It's an endless source of "woe to the social welfare where I live" as if there is any reason to compare horror stories between nations and situations so different we might as well be talking different planets. Just for the record: Being a close neighbour, I still don't recognize or understand the claims made by the two Swedes here. That being said, I'll try to get back to GW's original question, and the answer is no. Explanation, and being in danger of sounding like Ted Nugent:I have a history of substance abuse and addiction, and also of beeing supposedly "homeless." Having seen what I have seen, I have absolutley NO sympathy for junkies. None. Period. I have heard every sob-story, every reason, seen the scene from the inside, and it just leaves me cold. I live in 2004, not 1923, when heroin could be bought in the local store. I live in a day and age where you have to be the Prince of Village Idiots to start shooting up smack. Hence, you'll get about as much sympathy from me as a suicide bomber. At present there's 1400 tax-paid free rooms with medical care/councelling available in rehab centres around the country, but the "needy" are still sitting around outside my front door stealing everything that ain't nailed down and begging for change to get their fix. You want change? I gave at the office. I gave at home, and I'm still giving.
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Post by jopperm2 »

[QUOTE=c elegans]Where do you live? In the industrial world, nature householding does not work as it may do in agricultural or native cultures, the economy and society is money based, you must have money to rent a flat, to buy clothes, to buy hygiene articles, medicine, and other essentials. You cannot go to the landlord or to the hospital and pay in potatoes and sheep.

EDIT: Just checked your profile and saw you are living in Florida...now, I have only spent a few weeks or so in Florida, but I didn't see any signs of nature householding there, so how do you mean people are lazy if they don't want to work for food? Or was your comment directed to other parts of the world? [/QUOTE]

What I meant by you never see will work for food anymore is that not so long ago, the homeless would put that on a sign and people would take them to their home, they could do some yard work or something and they would be given a meal and usually some money to take with them.. By the time they were done with all the yard work or watever, you can pretty much trust them to give money to them.. I never see these signs anymore and I see lots of beggars. I'm not sure if laziness is the only contributor to the lack of willing workers, but not much has changed since the signs disappeared.

[QUOTE=c elegans]What you have to do appears to be to learn more about the sociopsychological as well as neurophysical factors that determine drug abuse. You seem totally ignorant of the fact that a very large part, perhaps the majority, or drug abusers, abuse drugs as self-medication of underlying illness. This was discussed at lenght at the lastest World Conference of Psychiatry as well as the latest International Collegium of Neuropharmacology. If you need some scientific studies of this topic, I can post abstracts and links.

People do not abuse drugs because they are "bums", the become increasingly bum-like because they abuse drugs. [/QUOTE]

First of all, I don't care if they are using drugs because if they don't the whole world will come to an end. It's illegal and that is absolute. It's called Rule of Law and it's wone of the foundations of an enlightened society. Self-medicating is a terrible idea whether it's alchohol for your depression or vicodin for your back pain. Also, just becasue something can be diagnosed or even is not your fault, doesn't entitle you to anything.. I agree that it is nice to have some sort of compensation for the legitimately disabled(and I'll come back to this later), and it is necessary to have short term assistance for the unemployed, etc, but if someone is a drug-addict, even if his doctor overprescribed him, even if he's got depression, even if he has some other legitimate reason, tough.. not my problem, not the government's problem. I'm not saying everything is always that person's fault, I'm saying that unless it's my fault I don't want to be forced to pay for it.

[QUOTE=c elegans]
How is mental illness a "difficult one"? It may appear difficult if you are not a psychiatrist, but cancer is also difficult if you are not an oncologist. What do you mean by "really sick" and "got it from too much drugs"?

Just like I am grateful medical science has moved forward and re-defined "witch" and "blessed" as "Tourette's syndrome" or "Mesotemporal epilepsia", I am grateful that labels like "stupid" and "crazy" today may be replaced with "ADHD", "Autism", "Down's syndrome" or "Schizophrenia". You seem to think that you are quite knowledgeble in this are since you state with lot of certaintly that some mental illness is "real" whereas other you get from drugs, and "stupid" and "crazy" differ from "real problems". I would very much like you to elaborate on this. According to you, what criteria are valid for diagnosis of "real" mental (what I call neuropsychiatric) illness? What are examples of non-real mental illness, and why is it not real?[/QUOTE]

By difficult one, I meant difficult to regulate and to put a finger on the problem. I have attention defecit disorder, and was overmedicated for it, and it did make me a little crazy, caused a couple of suspensions from school and some hurt feelings.. Do I blame anyone, no. Was it my fault, not really.. I didn't get the grades I should have becasue of it and didn't get the scholarships I probably could have. Shouldn't the government compensate me for that? No of course not.. Those that can take, get, those that can't, need. That's the way it goes.

[QUOTE=C Elegans]
So if I understand you correctly, disabled, ill or old people should live on other's peoples volontary charity, but the volontary charity should not come from you but from somebody else, since you refuse to take responsibility for anyone's problems? Furthermore, you blame needy people for not being able to get the charity they needed and resort to crimes instead, although you yourself is not prepared to participate in giving the charity who could keep them from crimes? If this is what you mean, I think you should count yourself in as one of the "parasites" you mentioned in previous posts.[/QUOTE]

If you read the whole thread I do give to charity. And the homeless too. Not because I take responsibility for their problems or think I have to. I do it just from good nature. I want to help people out a little if I can and I don't care what they do with it. I think that's the way charity should be, not the government trying to artificially redistribute funds to the poor. And as I said before, the reason for the crime has no bearing on whethter the crime is illegal or not. Old people should save on their own for their retirement, we also have social security in the US that covers them, it's not the best, but hey what do expect from government mandated saving. I say let people save on their own and if they fall on their faces, so what.

@Chanak, out of my own curiosity what agency do you work for. This is my experience on how the US disability system works, it has been reinforced by experience with my own family as well as many conversations with my social worker friend. This isn't the official way things work and many government officials will deny this, but many will reiterate it if asked their opinion in private.
1> Have some sort of problem with you. It's hard to get it if you really don't have anything wrong, that I won't debate, you need a problem to start with.
2> Go see a doctor for the problem and make claims of a much greater problem. Doctors don't have a way to tell how much you are really hurting and they aren't about to fight you on it becasue they are overworked and they don't care.
3> File disability claim right away. This is going to take a while and you need to start early, plus when you get denied it's easy to play it off like they just didn't have all the information when they denied you.
4> Get denied. They deny almost everyone.. Like I said they denied my father and he was hallucinating that his ashtray was coleslaw and asking me to get him a fork so he could eat it. If that's not unable to work I don't know what is.
5> Hire a lawyer and file an appeal. Most lawyers that specialize in this type of case won't charge you if you lose and they fight to the finish, they rarely lose also.
6> Keep fighting as long as it takes. You may need more doctor's notes, but these are easy to get because if a doctor has seen you before on the issue at hand they usually just have someone look up your file, make sure you really came in for that and then they sign it without even seeing you. The appeal takes usually 8 months to 2 years. Most that hang on that long are approved, the system rewards those who fight hardest, lots of disabled people don't fight that hard and may not know that they were wrongly denied, this causes a lot of depression in the disabled which only makes their problems worse. Espescially bad are those filing for psychological issues and get denied. This throws some of them over the edge.
7> Get a settlement and monthly check. They will pay you a settlement for back disability from the day your ailment began, my mother-in-law's check was over $20k after the lawyer took a huge chunk. You then get a check every month as well. This income isn't very big so a lot of people work illegally on the side. It is a decent income if you have a spouse with a full-time job though.
That's pretty much they way things actually work in the US. I agree there should be a system for disability, but this is obviously not working. A lot of the problem is that the agency has to much work to take a lot of care in these things and doctor's don't care one way or the other. They like people on disability because that means a lot of check-ups that require little work and are paid by the government.

[QUOTE=Dottie]I see, thats unfortunate. I think aid in this way must really be based on clinical criteria, rather than the applicants ardor when trying to battle the byrocracy. A similar problem exists here with healthcare, called "You have to be healthy to be ill". Dont know if its international or not, but it means you have to fight claws and teeth to get good treatment, wich ofcourse only a healthy person is able to do...[/QUOTE]

Seems you have a similar problem that we have in some respects. THe other problem we have here is that there is little preventative medicine involved other than birth control. It's mostly because doctor's get paid to do expensive prcedures and not to educate on nutrition, etc.
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jopperm2
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Post by jopperm2 »

Part 2

[QUOTE=Magrus]As to the fraud thing, I went through the process and I can tell you it's not at all easy to go through. I got stuck in a hospital for more than three months straight for psychiatric reasons, and that wasn't enough for them. It took them more than 4 months to review past medical history, review files, check up with doctors and see me in person to judge whether or not what was written down by doctors was true. Standard delay between when you apply and when you are approved or declined is 6 months, just to account for all the work which must go through, and to discourage those simply looking for an easy ride. The sheer amount of paper work sent to the case-worker I dealt with was mind-boggling. I remember filling out release forms for people I hadn't even seen or mentioned in more than a decade for medical things I went through as a child. If someone were to try to fake their way into the system, they'd have to fool a good number of people in the medical field. My opinion of many doctors I've met is low, but still, they generally can tell whether or not something IS truly wrong with even if they cannot find out exactly what it is thats wrong with you. Faking all those documents and finding people to play along with a scam like that would take a great deal of work.[/QUOTE]

First of all, there is a great deal of pressure from the supervisors of those case workers to get as many claims done as possible, so they don't pay as close attention as people may think. Likewise, doctor's just want to get things done, they don't necessarily care if you get benefits or not, they just want someone to complete whatever was requested and get it out of their face.

I'm not trying to offend anyone, and I'm sorry if I have, I just really think that this whole hand-out mentality is enableing abusers, and it is not in our interest. Things may be completely different elsewhere, I can only speak for the US.
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Post by jopperm2 »

[QUOTE=Moonbiter]This is the kind of argument that I can't honestly see the end of. It's an endless source of "woe to the social welfare where I live" as if there is any reason to compare horror stories between nations and situations so different we might as well be talking different planets. Just for the record: Being a close neighbour, I still don't recognize or understand the claims made by the two Swedes here. That being said, I'll try to get back to GW's original question, and the answer is no. Explanation, and being in danger of sounding like Ted Nugent:I have a history of substance abuse and addiction, and also of beeing supposedly "homeless." Having seen what I have seen, I have absolutley NO sympathy for junkies. None. Period. I have heard every sob-story, every reason, seen the scene from the inside, and it just leaves me cold. I live in 2004, not 1923, when heroin could be bought in the local store. I live in a day and age where you have to be the Prince of Village Idiots to start shooting up smack. Hence, you'll get about as much sympathy from me as a suicide bomber. At present there's 1400 tax-paid free rooms with medical care/councelling available in rehab centres around the country, but the "needy" are still sitting around outside my front door stealing everything that ain't nailed down and begging for change to get their fix. You want change? I gave at the office. I gave at home, and I'm still giving.[/QUOTE]

Thank you, I'm glad to see that I'm not completely alone. :)
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Post by fable »

If you read the whole thread I do give to charity. And the homeless too. Not because I take responsibility for their problems or think I have to. I do it just from good nature. I want to help people out a little if I can and I don't care what they do with it. I think that's the way charity should be, not the government trying to artificially redistribute funds to the poor.

There's a mountain of evidence from many Western societies, including the US, France, the UK, the Netherlands and Germany, demonstrating that before the advent of social welfare--and during the time when "charity" was the main mechanism for helping the elderly and seriously infirm--most died alone, unhelped, often of starvation, or were cared for in conditions that by any reasonable standards (and even those of their contemporaries) would be considered horrific. This isn't opinion. This is fact, meticulously gathered by economic historians researching the 17th through 19th centuries through a host of source documents. I can provide some books you might check if you want to research this, though due to the depth of the data the reading may be hard going for some (not necessarily for you).

On a personal note, if there was no welfare system, I wouldn't be alive. Insurance plans were forced by the government upon many employers, including my wife's, which is how we can afford the expensive asthma medications I take. Charity doesn't cut it. Attentive benevolence is not the normal condition of humankind, despite its willingness to shed a tear every holiday season over Jimmy Stewart in It's a Wonderful Life.
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Post by jopperm2 »

If people aren't inclined to give, so be it.

I think if enough people were dying, that it affected the workforce, employers would take action. Slaves had some of the best healthcare of the 19th century.
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Post by fable »

If people aren't inclined to give, so be it.

So you're saying that because we couldn't afford it, I should die? Because that's what would happen. The stuff's too expensive, otherwise. And don't say "somebody would deal with it," because there are hundreds of people a year around the world, suffering from asthma, who don't have the social system we do, and have to fall back on charity. And they die.

I think if enough people were dying, that it affected the workforce, employers would take action. Slaves had some of the best healthcare of the 19th century.

The flaw in your argument is that we're dealing with 1) the elderly, past retirement, and 2) the youthful of a very large, unskilled labor force, that can easily be replaced. So as all the documentation shows, they were simply allowed to die. Charity couldn't handle even the smallest part of it. Do you know what the average life expectancy was at the height of the Industrial Revolution in Manchester? 28. And that was roughly one-third the nation average at the time. There was no social network, no federally funded hospitals, certainly no mandated insurance. The people simply died for lack of support.

Again, I'll provide you with a number of titles to well-researched books on this subject if you'd like. They'll explode any belief that charity ever worked during the period under discussion or since as a general method to deal with severe illness or old age.
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Post by jopperm2 »

[QUOTE=Fable]So you're saying that because we couldn't afford it, I should die? Because that's what would happen. The stuff's too expensive, otherwise. And don't say "somebody would deal with it," because there are hundreds of people a year around the world, suffering from asthma, who don't have the social system we do, and have to fall back on charity. And they die.[/QUOTE]

I honestly don't think that drug prices would be that high if there wasn't such a government hand-out policy, also insurance wouldn't be that high. Also, if the US had real problems like the nations that you're referring to, the millions spent on charity annually would cover those problems and not shipping money out to be spread thin across problems we'll never see.

[QUOTE=Fable]
The flaw in your argument is that we're dealing with 1) the elderly, past retirement, and 2) the youthful of a very large, unskilled labor force, that can easily be replaced. So as all the documentation shows, they were simply allowed to die. Charity couldn't handle even the smallest part of it. Do you know what the average life expectancy was at the height of the Industrial Revolution in Manchester? 28. And that was roughly one-third the nation average at the time. There was no social network, no federally funded hospitals, certainly no mandated insurance. The people simply died for lack of support.

Again, I'll provide you with a number of titles to well-researched books on this subject if you'd like. They'll explode any belief that charity ever worked during the period under discussion or since as a general method to deal with severe illness or old age.[/QUOTE]

1) The elderly are covered bu Medicare, this I'm not too mad about though I personally feel that if you have 40 years to save and you can't do it that's your fault.
2) The people doing unskilled work are in good condition and are not about to keel over, in fact, most of them have no healthcare anyway. Also in the time periods that you are referring to those people were allowed to die becasue they were considered utterly worthless. In fact, given the option I'm sure many would have helped them along. Also, I do support federal funding for hospitals, it's hard to provide the right kind of healthcare without neglecting prevention if you don't get a supplement of some sort. I.E. There's no profit in prevention or cure, only treatment.

I'll be glad to browse your reading list, but like I said I'm talking about the US, now. I don't think that there was never a time for liberalism, now just isn't the time. If labor had never organized I don't think we would be where we are in industry. Also if the New Deal never existed, our economy would not be were it is. Liberism has it's place, I just don't think it has it's place in the US welfare system today.
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Post by fable »

[QUOTE=jopperm2]I honestly don't think that drug prices would be that high if there wasn't such a government hand-out policy, also insurance wouldn't be that high.[/quote]

Then you're wrong, to put it bluntly. My wife and I have thoroughly researched this matter, if for nothing other than out of self-interest. Some of the drugs I use are very inexpensive; others are sky-high, because the research and development costs on those medications were through the roof, with little hope of return if sold for less. It's the so-called government hand-out you're referring to that has actually allowed pharmaceutical companies, hospitals and doctors to charge less to patients, and absorb most of the cost. The days of rampant cheating have been over for several decades, as the legal loopholes in medical compliance were closed.

Also, if the US had real problems like the nations that you're referring to, the millions spent on charity annually would cover those problems and not shipping money out to be spread thin across problems we'll never see.

The fact that charities are spread thin and can't even begin to handle 1/100th% of the cost of all the medical care admiinistered to the elderly and indigent in the US is because it's simply not there. Check out some of the websites that monitor 501c3's, tax-exempt public foundations, and the amount of money they garner. People simply don't donate enough to handle it, and throughout history, never have come close.

1) The elderly are covered bu Medicare, this I'm not too mad about though I personally feel that if you have 40 years to save and you can't do it that's your fault.

This shows a remarkable lack of empathy for individuals who have put children through school, saved the best they could, and then found themselves faced with medical costs due that dwarf all expectations. My parents saved for roughly the time you indicate; and my father's expenses for his cancer treatments in the first 6 months after his diagnosis literally would have left them broke. To be sure, this is simply personal anecdotal evidence, but from what I can tell, my parents were neither extravagant in their living standards, no remarkably frugal; the same story has been repeated time and again with others. The cost of medical R&D these days is simply too great for the burden to be subsumed by patients, or hospitals--or by the manufacturers, for that matter. The alternative is simply to scrap most of the medical treatments that have been placed into use over the last 30 years, including expensive cancer treatments, heart bypass surgery, and the like.

2) The people doing unskilled work are in good condition and are not about to keel over, in fact, most of them have no healthcare anyway. Also in the time periods that you are referring to those people were allowed to die becasue they were considered utterly worthless. In fact, given the option I'm sure many would have helped them along.

Where are you gettting this stuff? There's no indication that these people were considered "worthless." Their early deaths was a constant subject of discussion and concern in legislatures, newspapers, sermons, books, and discussion groups. There simply was no solution because charity was considered the only solution; the idea of a government using tax dollars to fund a safety net for the elderly and indigent had yet to be more than voiced by a few isolationists. In fact, it was because of this intolerable situation that the nations under discussion finally developed a consensus towards social legislation.

I'll be glad to browse your reading list, but like I said I'm talking about the US, now. I don't think that there was never a time for liberalism, now just isn't the time. If labor had never organized I don't think we would be where we are in industry. Also if the New Deal never existed, our economy would not be were it is. Liberism has it's place, I just don't think it has it's place in the US welfare system today.

This isn't about flag-waving isms that make no sense at all, like the specious what-ifs over labor and industry, above: it's about doing what's morally right at this moment, on the ground. If we could spend literally $200 billion federally last year to fund a war in Iraq alone without reference to the rest of the defense budget, then we can afford to spend money to keep our own elderly from dying in the streets through no fault of their own, and a tiny fraction of the cost.
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Post by Chanak »

[QUOTE=Dottie]@Chanak: I see, thats unfortunate. I think aid in this way must really be based on clinical criteria, rather than the applicants ardor when trying to battle the byrocracy. A similar problem exists here with healthcare, called "You have to be healthy to be ill". Dont know if its international or not, but it means you have to fight claws and teeth to get good treatment, wich ofcourse only a healthy person is able to do...[/QUOTE]

It takes an understanding of what channels to go through, and the fortitude to ride out the horribly long waiting periods to receive any assistance. Offices are understaffed; what staff there is has minimal training; and the staff they have aren't paid very well. It all contributes to a viscious cycle. A good example of the wastefulness of this broken system can be seen at the local Psychiatric Emergency Services (PES) office. The waiting room is normally full of people who were on various medications for various disorders. Most, if not all, were laid off from their jobs when the job market here took a turn for the worse last year. They have no insurance, are trying to find jobs, and are desperate for the medication which helps them live relatively normal lives. Some of these people can't even function without their medication. They sit in a waiting room often for 10 hours to be told by a receptionist that they have an appointment to be seen by an Intake worker in 2 weeks. This worker determines if you are eligible to be seen by the staff psychiatrist. It will be another 2 months after that before they can see the doctor. :rolleyes:
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Post by jopperm2 »

[QUOTE=fable]Then you're wrong, to put it bluntly. My wife and I have thoroughly researched this matter, if for nothing other than out of self-interest. Some of the drugs I use are very inexpensive; others are sky-high, because the research and development costs on those medications were through the roof, with little hope of return if sold for less. It's the so-called government hand-out you're referring to that has actually allowed pharmaceutical companies, hospitals and doctors to charge less to patients, and absorb most of the cost. The days of rampant cheating have been over for several decades, as the legal loopholes in medical compliance were closed.[/QUOTE]

Maybe I have not completely sted my opinion here.. I support money going to hospitals, and for R&D. I think the focus should be on making those drugs affordable and safe, and getting them available sooner, not paying people's medical bills. And cheating is rampant, I don't know where you're getting your information there, but if it's from the government, that's your problem. I know multiple people that have done it and when I tried to report it the government official told me that it costs too much to fight them and take it away to bother.

[QUOTE=fable]
Also, if the US had real problems like the nations that you're referring to, the millions spent on charity annually would cover those problems and not shipping money out to be spread thin across problems we'll never see.

The fact that charities are spread thin and can't even begin to handle 1/100th% of the cost of all the medical care admiinistered to the elderly and indigent in the US is because it's simply not there. Check out some of the websites that monitor 501c3's, tax-exempt public foundations, and the amount of money they garner. People simply don't donate enough to handle it, and throughout history, never have come close.[/QUOTE]

I'm talking international aid, everything. No more Rawanda, Somalia, Ethiopia, etc. I don't know if that would cover it, but if it didn't I could see spending some money to reduce the cost of things in addtion to the funding I mentioned above. If we only spent money on countries that could reciprocate with something then more could be diverted to domestic causes. You don't want to know my opinions on foreign policy.

[QUOTE=fable]1) The elderly are covered bu Medicare, this I'm not too mad about though I personally feel that if you have 40 years to save and you can't do it that's your fault.

This shows a remarkable lack of empathy for individuals who have put children through school, saved the best they could, and then found themselves faced with medical costs due that dwarf all expectations. My parents saved for roughly the time you indicate; and my father's expenses for his cancer treatments in the first 6 months after his diagnosis literally would have left them broke. To be sure, this is simply personal anecdotal evidence, but from what I can tell, my parents were neither extravagant in their living standards, no remarkably frugal; the same story has been repeated time and again with others. The cost of medical R&D these days is simply too great for the burden to be subsumed by patients, or hospitals--or by the manufacturers, for that matter. The alternative is simply to scrap most of the medical treatments that have been placed into use over the last 30 years, including expensive cancer treatments, heart bypass surgery, and the like.[/QUOTE]

I agree that medical care for the elderly is expensive, but I think there are alternatives. I'm not saying scrap it all together, but I think there should be some changes. Income restrictions (: eek: From a conservative! OMG!) on it. You need to be poor. Period. Rich people don't need medicare. I know that isn't popular in the RNC but tough. I also think we could move back the age you get it if we focussed more on prevention. I know that this doesn't fit completely with everything I have posted, but if all my other suggestions were implemented and it wasn't enough, this is what I would want.

[QUOTE=fable]2) The people doing unskilled work are in good condition and are not about to keel over, in fact, most of them have no healthcare anyway. Also in the time periods that you are referring to those people were allowed to die becasue they were considered utterly worthless. In fact, given the option I'm sure many would have helped them along.

Where are you gettting this stuff? There's no indication that these people were considered "worthless." Their early deaths was a constant subject of discussion and concern in legislatures, newspapers, sermons, books, and discussion groups. There simply was no solution because charity was considered the only solution; the idea of a government using tax dollars to fund a safety net for the elderly and indigent had yet to be more than voiced by a few isolationists. In fact, it was because of this intolerable situation that the nations under discussion finally developed a consensus towards social legislation.[/QUOTE]

Notice that I said people doing unskilled work that were in good condition, not elderly and indigent. I'm talking mostly of men in their 20s, in Georgian England and the like. And the people that you cited as discussing this were Avante Garde, it was the general agreement of the aristocracy that this was a bad thing. They didn't care if people were killed in factories, if they did, they'd have put in safety measures.

[QUOTE=fable]I'll be glad to browse your reading list, but like I said I'm talking about the US, now. I don't think that there was never a time for liberalism, now just isn't the time. If labor had never organized I don't think we would be where we are in industry. Also if the New Deal never existed, our economy would not be were it is. Liberism has it's place, I just don't think it has it's place in the US welfare system today.

This isn't about flag-waving isms that make no sense at all, like the specious what-ifs over labor and industry, above: it's about doing what's morally right at this moment, on the ground. If we could spend literally $200 billion federally last year to fund a war in Iraq alone without reference to the rest of the defense budget, then we can afford to spend money to keep our own elderly from dying in the streets through no fault of their own, and a tiny fraction of the cost. [/QUOTE]

I put military funding as primary. If we could get a little more imperialism and stop worrying about hurting peoples feelings the costs wouldn't matter. Also I don't mix business with pleasure, or politics with morality.
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will not have, nor do they deserve, either one."

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Post by fable »

[QUOTE=jopperm2]Maybe I have not completely sted my opinion here.. I support money going to hospitals, and for R&D. I think the focus should be on making those drugs affordable and safe, and getting them available sooner, not paying people's medical bills.[/quote]

So people like me wouldn't be able to afford the drugs necessary to keep living, just as I mentioned above. Thanks.

And cheating is rampant, I don't know where you're getting your information there, but if it's from the government, that's your problem.

I get my information from a great deal of research; yours seems to be strictly anecdotal--who are "the people" you say cheat? Doctors? Hospitals? If so, which ones? And how did you learn about this, if they weren't caught and fined? Personal boasts? Hospitals and physicians cheating the federal government to get Medicaire funds simply doesn't happen anymore. The regulatory procedures are too tight, and the fines are incredibly steep when you're caught. I'd like links to current articles showing the massive fraud you claim.

I'm talking international aid, everything. No more Rawanda, Somalia, Ethiopia, etc. I don't know if that would cover it, but if it didn't I could see spending some money to reduce the cost of things in addtion to the funding I mentioned above. If we only spent money on countries that could reciprocate with something then more could be diverted to domestic causes. You don't want to know my opinions on foreign policy.

I'm afraid I've no idea what this paragraph means, or refers to. We're discussing your statement that charity could cover all the medical expenses of the indigent and elderly without recourse to federal support.

I agree that medical care for the elderly is expensive, but I think there are alternatives. I'm not saying scrap it all together, but I think there should be some changes. Income restrictions (: eek: From a conservative! OMG!) on it. You need to be poor. Period. Rich people don't need medicare.

You keep saying there should be alternatives, but charity doesn't even begin to approach meeting it, and income restrictions have been in place for more than two decades. So what realistic alternatives? Name some with proven track records. As I pointed out in my last reply to you, my parents were solidly middleclass--and they couldn't begin to meet the payments for my father's surgery and cancer treatments in the first six months of his illness, despite saving regularly for 40+ years. So it isn't a matter of being poor, in other words, strictly income: it's a matter of meeting medical expenses, regardless of your presumed income. From this perspective, a huge number of Americans simply couldn't handle the costs without Medicaire, which is a federal system that you want eliminated, and government-mandated insurance policies on the job.

Notice that I said people doing unskilled work that were in good condition, not elderly and indigent. I'm talking mostly of men in their 20s, in Georgian England and the like. And the people that you cited as discussing this were Avante Garde, it was the general agreement of the aristocracy that this was a bad thing. They didn't care if people were killed in factories, if they did, they'd have put in safety measures.

What avant garde are you speaking of? As for the unskilled labor force in the Industrial Revolution of the US and Western Europe, they began in good condition, and then they died on average before reaching the age of 30--far before those who didn't work in the cities at the time; so much as you'd expect elsewhere, they weren't healthy at that point. ;) What does "it was the general agreement of the aristocracy that this was a bad thing" refer to? The British aristocracy wasn't united on anything at that time, so I don't know where this coming from. I do know, as I stated, that Victorian England as a whole, top-to-bottom, recognized a major problem in the inhumanity and terrible working conditions on the Industrial slums and the deaths it caused, and there's a raft of surviving material supporting this concern, and the beginnings of social legislation.

I put military funding as primary. If we could get a little more imperialism and stop worrying about hurting peoples feelings the costs wouldn't matter. Also I don't mix business with pleasure, or politics with morality.

None of this makes even basic sense. If you're suggesting invading other nations, and that somehow this would justify still greater military expenditures, you obviously haven't read any economic history. Nor does this deal with the point I raised: that the cost of supporting the US' indigent or elderly in the medical system is being accomplished for a tiny fraction of the cost of the Iraq war. Stick to the subject, please.
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Post by jopperm2 »

I'm worn out with all the cutting an pasting I've been doing so I'll make this more simple.

1> I said I want to make your prescriptions affordable instead of paying for them for you, it has basically the same effect.

2> Most of my evidence of this cheating is anecdotal, I'll admit that, but I think the confusion is that I'm not talking about hospitals and whatnot cheating, I'm talking about people being on disability when they shouldn't be. There are not articles that I know of because I haven't looked, this type of disability fraud(and welfare fraud too) is common knowledge where I live.

3> What I'm saying here is that some federal aid may be necessary, but only after a complete overhaul of the system would I agree to it.

4> We're in agreement here I think. Medicare should be based on the expenses you have and your ability to pay them. While I might think that someone who makes $200k/year is pretty well off, if they need $5mil in proceedures it may not do them too well.. ps> which mandated insureaces are you referring to, I'm not sure I completely know what you mean.

5> Maybe I'm wrong on this, I seem to remember images of poor people being run down in the street by fancy carriages and no one caring.. Maybe I'm wrong.

6> We're not going to come to a consensus on this and that one is obvious, but I will say that I think wars are necessary and I don't mind the cost. I agree that there should be some changes in the healthcare system but I'm not sure I want to spend any more on it. I said I wasn't too happy with medicare, not that I want to scrap it altogether.
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Post by Xandax »

[QUOTE=jopperm2]<snip>
2> Most of my evidence of this cheating is anecdotal, I'll admit that, but I think the confusion is that I'm not talking about hospitals and whatnot cheating, I'm talking about people being on disability when they shouldn't be. There are not articles that I know of because I haven't looked, this type of disability fraud(and welfare fraud too) is common knowledge where I live.
<snip>[/QUOTE]

Common knowlegde does not equal factual knowlegde.
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