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Frances

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Posts posted by Frances

  1. I know that's the argument for UHC... I just don't understand how that's going to work. It's already hard to find a doctor that accepts Medicare. Why? Because Medicare reimbursement rates are too low and there's too much paperwork involved. How is that going to work when all the patients have that same reimbursement rate?

     

    Because under universal health care, virtually all of a doctor's business will come from the government. The doctors will have to accept patients to stay in practice and the government will have to set reasonable reimbursement rates to keep doctors practicing. Right now doctors make far more money from privately insured patients than medicare and medicaid patients, so they have no financial incentive to take medicare/medicaid patients. Of course there will always be the wealthy minority who can go outside the system and pay for whatever they want, including the private hospital room and the top-of-the-line experimental treatments.

    Patients are still going to sue. They will still want the top-of-the-line experimental treatments that are super expensive. They will still want private rooms in the hospital, etc. We're entitled Americans, after all. :tongue_smilie:

    Most countries with UHC have vastly different medical malpractice laws from the US and malpractice reform is always part of the discussion when UHC is considered.

     

    So while I really, really hope that the new healthcare law (and potentially UHC, should we ever go there) helps make things better for everyone, I just can't see how that is possible. UHC works great in other countries, I see that. I just don't believe it would work here the same way.

     

    And except for having a segment of the population that believes UHC is socialistic and therefore bad and that access to affordable and quality healthcare is not a basic human right, I really don't see how the US is so different from other industrialized nations with UHC. Why are we trying to reinvent the wheel when we already know what works?

  2.  

    I'm just saying I don't see the cost of health care going down if we go to a single-payer system. :(

     

    UHC would lower costs because the costs of the insurance companies would be removed, profit-incentives would be removed (reimbursement rates would be fixed), and everyone would have access to preventive care, instead of the current system we have where the insured pay higher costs to compensate for the uninsured accessing care. It's a fact that in countries with UHC, health care costs are significantly lower, and in the long run the same thing would happen in the US.

     

    Of course the economic transition would not be easy and the costs would probably be higher up-front and many insurance company employees would lose their jobs, as someone mentioned. But under the current system, healthcare costs continue to spiral out of control and many people can't move, change jobs, or even start their own business because they are chained to their current health coverage and can't risk losing it.

  3.  

     

     

    That was the same theory that founded Social Security - someday you will be old and unable to work, wouldn't you rather pay now and be guaranteed SS payments later? But now that system is going bankrupt and people of my generation are already viewing SS as a benefit we may not receive.

     

    And you're right that the same thing will likely happen to medicaid if we can't bring the costs of health care down in this country. But there is no incentive in the current system to do so. Too many people are profiting from it. In countries with UHC, the greed portion of the equation has been removed and health care costs are lower for everyone.

  4. I've got a few questions about how UHC deals with system abusers.

     

    Many people are on medicaid in America, and use it responsibly. But there are a few who abuse it. They don't care how much they're costing the government because they don't pay for it. They are the diabetics who make no effort to take care of themselves and go to the ER on a regular basis. Or the folks who don't have anything really wrong with them but like the attention and free food they get from the hospital. There are thousands of ways to abuse free health care.

     

    Again - the vast majority of folks on medicaid don't do this - but those who do really rack up the bill. They don't take any responsibility because there is no cost to them. How does UHC handle this sort of situation? This is one argument I've heard against UHC, and I'm curious how it is solved.

     

    Also - one of many things driving up the cost of health care is litigation. Doctors run all sorts of unnecessary tests because they're afraid of being sued. Is there some way countries with UHC deal with this?

     

    (Because tone is hard to interpret on the internet - I am genuinely curious, and in no way trying to argue.)

     

    I know that in at least one country with UHC (Japan) they deal with this at least in part by not paying for some things. For example, I had a co-worker here in the US that got very drunk on his birthday and climbed a high chain link fence and fell off of it, resulting in extensive head, neck, and dental injuries. It was all covered by our employer-provided health insurance, although he did have some co-pay costs. According to my sister who was living in Japan at the time, this would have not been covered at all by the government insurance. He would have been treated at the hospital, but billed for the costs because the accident was due to his inebriated state.

  5. Until recently with all the changes being rammed down - er - implemented, 90% of Americans had insurance, and most of the rest were in groups who hardly ever need expensive care (such as young, single adults) - and that is usually a temporary situation per individual. So no, it isn't the same as half of the people paying for the other half, and the ones paying the most having to pay still more since their own care isn't included in the deal.

     

    It simply isn't true that 90% of Americans had coverage previously. I'm an economist that works with lots of health and medical related data and that is not the reality. My training is in statistics and as we all know, you can always find statistics somewhere to support your claims.

     

    Also, simply because you have insurance in the US does not mean that you can afford to use or access the care you need or that pre-existing conditions will be covered when you need it. Here's an example from my own life. Good friends of ours spent three years in Australia and when they returned to the US, the husband immediately starting working for his old company and signed up and started paying for the group health insurance offered by his employer. One month later he was diagnosed with liver cancer and immediately started treatment. Unfortunately, he died three months later, leaving a wife and three young children. The insurance company did not pay a dime. Why? Because they said it was a pre-existing condition, and he had not been insured for the one year required to cover that particular pre-existing condition. Even though he didn't know he had liver cancer when he started his job, they determined it must have existed prior to his diagnosis given the advanced stage of the disease.

     

    Someone mentioned they don't trust the government running the health insurance program and believe in free markets. But insurance companies have every incentive to insure healthy people and not insurance sick people in order to keep profits up. What happens when you lose your job (and insurance) when pregnant with a child who turns out to have multiple medical needs. Now try buying health insurance in the open market. Why would any insurance company sell it to you for a reasonable price? Your only hope is to find another job with health insurance that will at some point cover your child's pre-existing conditions. Or if you start running through all of your savings and assets, eventually you will probably be poor enough to qualify for government insurance.

     

    All of us with insurance and paying for both that and cop-pays and non-covered care are already paying for those that don't have insurance and that is one of the reasons the cost is so high. My husband works in a hospital and EVERY SINGLE DAY treats uninsured patients. Someone has to pay, the hospital can only absorb so many lost $$$. So they pass the costs on to those with insurance and the insured all pay more. And when people don't have access to free or affordable primary care, the consequences of long neglected conditions costs a lot more than good preventive care.

     

    Also, part of our health care expense comes from the insurance companies. Removing them from the equations removes part of the cost. Finally, if we had true universal health care, the costs would go down because just like for medicaid and medicare, reimbursement rates would be set by the government. The profit incentive in medicine would be removed. Health care workers would still be paid reasonable salaries to compensate for their training and work, but they wouldn't be compensated for doing things like ordering unnecessary procedures to improve their bottom line or ordering numerous diagnostic tests because they are afraid of being sued.

     

    Health care costs less in countries with universal health care and that is why the government can afford to pay for it while still charging less in taxes. I wish we had universal health care instead of the new system, but the democrats had to compromise or we would have been where we ended up when Clinton tried to reform healthcare - right where we started.

  6. My son heard from his last school yesterday - accepted at Reed College. He also had good news in the mail from Grinnell - a $22K scholarship and air fare for him to attend one of the accepted student days in April. One of his grandmas in IA has offered to transport him between Grinnell and St. Paul if he wants to visit Macalester at the same time. He's been to both campuses, but it was during Spring Break last year, so he's only done tours and info sessions.

     

    Best of luck to anyone still waiting!

  7. Here's the link to the yahoo group for Village Home:

     

    villagehome-subscribe@yahoogroups.com

     

    I would also recommend watching the video on the front page of the Village Home website. I think it gives a great overview of the special place that is Village.

     

    We travelled from Salem for four years and some people thought we were crazy. Although depending on where you live in the Portland metro area, the drive can be even longer. We knew people traveling further than we did, including from Hood River.

     

    We still live in Salem, but my son stopped taking classes there when he was accepted into a special program for high school students at our local LAC (Village teachers wrote his letters of recommendation!). Many of the older teens at Village take CC classes, but with traveling from Salem and regular college classes, my son reluctantly gave up Village last year. He's still in touch with many of his teachers and friends, and we occasionally attend Village events. His private math teacher in Salem also teaches at Village, so he keeps up with all of the news and happenings.

     

    Let me know if you have any other questions. Good luck!

  8. Congratulations to everyone who heard good news this week-end!

     

    lisabees - Those are some amazing acceptances and I hope your son hears good news from Oberlin on Monday and gets a great FA package. My niece is a freshman at Haverford and absolutely loves it.

     

    My son is only waiting on one more school. This week-end he had good news from Grinnell, Whitman, Lewis & Clark, and the honors college at the state U (full tuition scholarship!).

     

    Good luck to everyone still waiting to hear about acceptances and FA packages. The finish line is in sight!

  9. So far my son has heard from four of his schools and is still waiting for word from the remaining four. He's been accepted to the state U, Willamette, University of Puget Sound, and Macelester, with merit scholarships at all of them. We received Macelester's FA package today and were very pleasantly surprised. They promise to meet the full need of all accepted students and award primarily need-based aid. But because our EFC from the FAFSA is fairly close to the COA, we weren't expecting much. However, he received two scholarships (including their top one), a grant (!), and work study (so no need to worry about personal spending $ if he doesn't find a summer job or gets an unpaid research position like last summer!).

     

    Congratulations to everyone who has heard good news so far and good luck to all of those still waiting on acceptances and final aid packages!

  10. We're trying to finish up the school and student portions of the NM application this week-end, so we can pass it to the endorser/recommender to finish. For the student portion, if your child takes some college classes as a non-matriculated, non-degree seeking student, did you select not enrolled in college or enrolled part-time?

     

    Also, for the grade level part of the extracurricular activities section, did your child only use grades 9-12, or did they include earlier grades if the activity started before high school?

     

    Thanks for any help you can provide.

  11. It sounds like your daughter really enjoys the class and has a good instructor. Our YMCA has a similar class and I don't think there is anything wrong with mixing styles unless you or your daughter desires to learn only style.

     

    My son has done karate for almost ten years and will be testing for his black belt at the end of the year. In his style, it is not at all unusual for children to wait a year or more for their first promotion, even though all students are at least seven years old. All classes are mixed ages, there are no children or adult classes, and the expectations for testing are exactly the same for adults and children. If my son is successful, he will be the first teen black belt in the 20+ year history of his dojo, so slow promotion is definitely the norm for his style. One-third of his test will be done entirely in Japanese and for another portion he will spar ten adult male black belts consecutively. So there are good reasons it took him so long to reach black belt level.

     

    Although students know what is necessary for promotion, that is not the primary focus of the training. When taught correctly, there is so much more to martial arts than testing for the next level. Also, students are taught not to ask about promotion, rather the sensei will tell them when they are ready. For higher belts, he will often send them to another dojo in the association to be evaluated before testing. Training time and good attendance in no way guarantee that you will be allowed to test. You have to be absolutely solid on the test requirements and I have never been to a promotion where everyone passed.

     

    If your daughter is enjoying class and learning and you are happy with the teacher otherwise, I wouldn't let the belt/stripe issue keep her from continuing.

  12. Is anyone familiar with either the SAT Spanish Subject test or the CLEP test for

    Spanish? My senior ds did Spanish his first two years of high school, including a one month summer exchange program. Last year he simply didn't have time with everything else on his plate. However, he just added two schools to his college list that require test results or college credits equivalent to two years of high school foreign language for homeschooled students. He would need either a 500 on the SAT or a 40 on the CLEP. Obviously he will have to review and study before the test, but if anyone knows which score might be easier to obtain, that would be very useful. He has strong scores in all of the other required tests, so we're really just looking to meet this requirement, and are not worried about scoring high.

     

    Thank you!

  13. I think you should do what works best for you. One of the beauties of homeschooling is flexibility. Several of my son's friends waited until 19 to go to college and were accepted everywhere they applied. Many homeschoolers do transcripts by subject rather by year and like public schools, award credit for classes done prior to high school. So it wouldn't even have to be obvious that you took an extra year. Take your time, pursue both your academic and extracurricular interests, and apply when you feel ready.

  14. My husband, his sister, and I all graduated from Cornell in the 1980s. We all

    had wonderful experiences and felt very prepared for life after college. Cornell is located in the picturesque small town of Mt Vernon and the entire campus is on the National Register of Historic Places, so it is very beautiful.

     

    Cornell is one of only a few colleges in the country that uses the block plan. You take one class for 3 1/2 weeks and then have a 4 1/2 day break. When we were there they offered nine blocks each year, but you only needed to take classes during eight blocks to graduate in four years. Thus, most students had double majors and triple majors were not uncommon. Unfortunately, starting in the fall of 2012 they will switch to eight blocks.

     

    Personally all of us loved the block plan, but I think it just depends on your personality and work habits. We had a variety of majors - Psychology, Math, Chemistry, Art, Political Science, and Religion, and it worked just fine for all of them. However, you simply cannot procrastinate and for math and sciences courses you do need the ability to quickly master the concepts, but being able to focus on one thing is really nice.

     

    The flexibility of the block plan is wonderful for internships and study abroad. It's also great if you change or add a major late as it's easier to quickly finish prerequisites without waiting for the next semester or year. I didn't start taking math classes until my junior year and went on to grad school in statistics. My husband added an art major after a month in Mexico during his sophomore year.

     

    Although Cornell is not one of the top 25 liberal arts colleges in the country, we all had many opportunities after graduation. We all have advanced professional and/or academic degrees and did graduate work at various research universities including two Ivy League schools. My husband was accepted to a great medical school and his sister to a top law school, although neither ultimately chose those options.

     

    Probably the best thing about Cornell is the wonderful relationships that develop between the students and faculty. We now live on the west coast, but one of my husband's art professors and his family were just here over the 4th of July week-end and one of his chemistry professors has visited numerous times. My husband also taught with him for several years at Harvard summer school when we lived on the east coast. When we were in Mt Vernon over Spring Break we stayed with one faculty member and had meals with many others.

     

    To offer some balance to the above glowing review, I'll say that for my rising senior son the two things he did not like about Cornell during our visit were the food and the science facilities. Many of the other LACs we've visited have new or newly renovated science centers and use Bon Appetit for their food service. My son is thinking about majoring in Chemistry and is one of those people that lives to eat.

     

    I hope this helps and please feel free to ask any specific questions.

     

    Frances

  15. I'm looking for any information about UPitt, especially the Honors College. Today my son received a letter from them inviting him to visit and promising to reimburse his travel and lodging expenses if he subsequently applies. We're on the west coast and are not at all familiar with the school.

     

    Until recently my son was focusing his college search on LACs. My husband and I both attended one and most of my husband's teaching experience has been at one. Also, last year my son took several courses at our local LAC through a special program for high school students. However, this summer he has been doing research at our state medical school and absolutely loves it. So now he also wants to consider larger schools that have medical schools and offer undergraduate research opportunities. There isn't such a school in our state, so we need to look elsewhere. He's thinking about majoring in chemistry and fulfilling all of the pre-med requirements.

     

    Thanks so much for any information you can provide. I've looked at the UPitt website and read about the school in our college guide books, but would love to hear any personal experiences.

     

    Frances

  16. First, I asked for the access code and she said I should call his hs guidance counselor and ask for the code. After I explained that we homeschool, she said she could give me online access. She went away for a few minutes and when she came back, I was able to see the scores online at the MyQuickStart tab without being prompted for the access code.

     

    I know this has worked for other homeschoolers on a yahoo group I belong to, so maybe it just depends on the person answering the phone.

  17. If your son or daughter already has a College Board account, you can call and tell them you homeschool, and they will grant you online access to the 2010 scores without needing the access code you will receive in the mail.

     

    Since we live in Oregon and the score reports seem to be moving slowly across the country, I did this today and was happy to find out that my son should definitely be a NMSF.

     

    Hope this helps those of you who are anxiously waiting.

     

    Frances

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