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POLICY: Thank God there’s no rationing here!

Back with more a little later (Typepad’s been a bit problematic today) but to start, just a quick note to those who say that there’s rationing in Canada and the UK and that we’re so lucky it doesn’t happen here. You need to amend your statements to "it doesn’t happen here — to nice people like us". But if you’re poor, good luck on getting the rest of us to help out.

For those of you too lazy to clickthru, the story is about Mississippi limiting Medicaid recipients to 5 prescriptions each. Something similar was tried back in the early 1990s with anti-psychotic drugs in New Hampshire, and I seem to remember that the result was that whatever was saved on the drug side was wiped out by the consequent increase in nursing home admissions.  So if this is the future (again) of rationing for the poor — and Medicaid covers 25% of the population in Mississippi — it’s not too clever a way of going about it.

(BTW This isn’t an argument in favor of Medicaid’s continued existence in its present form–it needs serious reform and in fact abolition. I’m just crying bullshit on those who say there’s no explicit rationing in the US–again).

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MichaelBobChris MartinDuncan Kindergadfly Recent comment authors
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Michael
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Michael

let’s keep score now they took the opium out of are our cough syrup “best thing to knock out a cold or flue and reduces pain diarrhea”. the Cocaine out of are Coca Cola “best thing for the stomach and digestion and it removes tarter plaque and germs”. No more nicotine you know the stuff that farmers used to chew to keep from getting mange form the Cow’s they used to dip them in it to cure them and if you do not know buy now mange we call it a cold sore. Now we put pesticides in all our… Read more »

Michael
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Michael

{soul} the inside underneath or unseen portion of {spirit} water that carries any other properties Now that you see what they did to the word and the word was God and GOD is this word bacterium the only thing that can take water and dust and make flesh just a small bacteria that multiplies 10 times over at 98.6 and when it fall to the water and everything was just right it fermented and from that ferment did God put air and in that air so did the mist of Gods spirit rise and come back to the dust and… Read more »

Bob
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Of course health care is rationed here (and everywhere else for that matter), but so are automobiles, home mortgages, food . . . But the poor are not denied access to health care as many believe. Most have access to free clinics, free meds, Medicaid, sliding scale fee for service and of course the finest emergency care our tax dollars can buy. I don’t really follow trends in other states but here in GA several reports released of late showed the following. Over half the births in the state are covered by taxpayer funded Medicaid and 20% of those births… Read more »

Chris Martin
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Chris Martin

My two cents from Chicago….of course rationing exists in the U.S. Health Care “system” (pssst..there is no system!).
In the U.S. care is rationed by ones ability to pay, which means you are either rich, or like most of us, have employer based health insurance.
However, unlike in most countries, we Americans like our rationing determined by the inept market place and not by government (ok…Medicare and Medicaid rationing is all right).
Chris

Duncan Kinder
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Tennessee is also currently considering rationing its Medicaid program:
http://www.takebackhealthcare.info/comments.php?id=92_0_1_0_C

gadfly
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gadfly

Instead of rationing, the U.S. just denies health care.
*limps across room to make point*

matt
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matt

The relatively rational rationing that goes on elsewhere is far superior to the irrational rationing and ad hoc rationing that goes on here.
If someone is going to be limited to 5 prescriptions you can damn well be sure that they’ll choose the 5 costliest, even if it means that the less expensive one or two others that are keeping them out of the ER are left up to the patient (i.e. not purchased out of pocket).