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PostPosted: 26 Nov 2012 10:48 
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brianjbyrne wrote:
Does it matter at all that what we call health care is a relatively new phenomenon largely created by private interactions? Good health is not a new phenomenon, but modern medicine is.
Brian,

People have always had some kind of health care, be it folk medicine or witch doctors. Medicine has evolved like all fields of knowledge. "Modern" medicine will be quaint and old-fashioned a few years from now.

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PostPosted: 26 Nov 2012 11:55 
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LASaxman wrote:
brianjbyrne wrote:
Does it matter at all that what we call health care is a relatively new phenomenon largely created by private interactions? Good health is not a new phenomenon, but modern medicine is.
Brian,
People have always had some kind of health care, be it folk medicine or witch doctors. Medicine has evolved like all fields of knowledge. "Modern" medicine will be quaint and old-fashioned a few years from now.

I'm not too sure you can put a date on when the "Modern Medicine" era began but less than 150 years ago, most people believed that many diseases were caused by "bad air".

Miasma Theory

Quote:
That a killer disease like malaria is so named - from the Italian mala ‘bad’ and aria ‘air’ - is evidence of its suspected miasmic origins.

Even in the 20th century, some practitioners of “modern” medicine held interesting ideas!

The Herald-Sun - What caused polio Ice cream was one theory

Quote:
In 1940, Dr. Benjamin Sandler published a paper, "The production of neuronal injury and necrosis with the virus of poliomyelitis in rabbits during insulin hypoglycemia," in The American Journal of Pathology. Disregarding all the winter holiday intake of sugary treats, from then on out the anti-polio diet was to cut out ice cream.

I was a child in the 1940s and while I hadn’t heard of this theory, I clearly remember my grandparents believing that polio was cause by night air.

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PostPosted: 26 Nov 2012 13:32 
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Jeff,

My point was it doesn't have to be a huge government program to adequately supply health care. I just read a gallup poll from 2006-2008 that showed 87% were happy with their health insurance, a lower percentage for government run care but around 75%. Gallup isn't a vehicle for the right wing and the article linking was pro reform.

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PostPosted: 26 Nov 2012 14:47 
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http://www.catholicnews.com/data/storie ... 004736.htm

It is hard to imagine the Holy Father means to advocate for a government funded and operated system of health care in light of other teachings with respect to subsidiarity and the right role of government. In 2010 similar words were uttered, but in only a minimal elaboration, one begins to see something quite different than what might be concluded from the few quotes starting this thread.

Clearly, government has a role, but it is not to assume control over all care. In the article linked above one will find a call to guarantee access and actual care for those cannot provide for themselves - hardly a radical concept, but one in which government can and does fall short in the US.

Logic would seem to require an assessment of government capacity in this regard. Some have said insurance companies and the private sector have fallen short too and I would agree, but it is governments role to step in under such circumstances, and not to usurp.

I don't see the question as one of a failed system, per se, seeking a universal or comprehensive solution. There are problems, yes, but much of the health care system functioned as intended in terms of the provision of care.

Pax et bonum,

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PostPosted: 26 Nov 2012 15:40 
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Jeff,

"Universal health care" is the correct term for what you would call "socialised medicine". I'd prefer to avoid the word "socialised" as some will toss it around as a bogey-man word.

Universal health care does not violate the principle of subsidiarity. The funds are distributed by the federal government to "Local Area Health Service" groups who then use the funds as indicated by local needs. One paricular reform some of us would like to see is local community representation as well as health care professionals and administrators.

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PostPosted: 26 Nov 2012 16:07 
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James,

It does violate subsidiarity in that smaller orders are capable or providing health care services. What a smaller order cannot do is weave a system of universal access.

Pax et bonum,

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PostPosted: 26 Nov 2012 16:23 
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Brian,

I don't see how the right to health care can be guaranteed by anything less than a system of universal health care.

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PostPosted: 26 Nov 2012 16:36 
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James,

I think perhaps you read too much into the guarantee.

Pax et bonum,

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PostPosted: 26 Nov 2012 16:45 
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What does guarantee mean to you? And what does the Church say about that? In very recent memory here in the US, we had bishop after bishop reminding of the principle of subsidiarity precisely in this context. Violating subsidiarity is a "grave" offense - not something to take lightly.

Pax et bonum,

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PostPosted: 26 Nov 2012 16:52 
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Brian,

We are well aware of the importance of subsidiarity.

Quote:
Eight Local Health Districts cover the Sydney metropolitan region and seven cover rural and regional New South Wales.

In addition, two specialist networks will focus on Children's and Paediatric Services, and Justice & Forensic Mental Health Network. A third network operates across the public health services provided by three Sydney facilities operated by St Vincent's Health: these include St Vincent's Hospital and the Sacred Heart Hospice at Darlinghurst and St Joseph’s at Auburn.



http://www.health.nsw.gov.au/services/p ... fault.aspx

(The three facilities mentioned by name are Catholic.)

Org chart:

http://www.health.nsw.gov.au/about/nswh ... chart.aspx

Quote:
We have been changing the NSW public health system as we work towards delivering better clinical outcomes, better patient experiences and a health system that people are proud to work in.

Our objectives are to deliver a health system in which more decisions are made locally with increased involvement from clinicians and the community. We are providing the people of NSW a health system where they can clearly see how services are run.


http://www.health.nsw.gov.au/funding_re ... fault.aspx

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PostPosted: 26 Nov 2012 16:58 
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Brian,

Yiou might find some of this interesting:

http://www.humanservices.gov.au/custome ... e/medicare

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PostPosted: 26 Nov 2012 20:14 
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brianjbyrne wrote:
What does guarantee mean to you? And what does the Church say about that? In very recent memory here in the US, we had bishop after bishop reminding of the principle of subsidiarity precisely in this context. Violating subsidiarity is a "grave" offense - not something to take lightly.

Pax et bonum,


The Church is Universal YET the Church does not impose upon others denying them the free will which God endowed each of us with. People choose to be members of and abide by the 'rules' of the Universal.

Guarantee? Christ makes a guarantee; HOWEVER, it is premised upon equal opportunity and choice -salvation is NOT collective and NOT forced upon us.

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PostPosted: 26 Nov 2012 20:51 
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As an aside, there is a difference between Health & Health Care.

For instance, many aspects of Health are a result of 'good' living. I would suggest that as such, Health Care legitimately must include pointing out clearly those activities that are 'bad'. The Church does this -Obamacare does not.

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PostPosted: 26 Nov 2012 20:55 
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Seamas O Dalaigh wrote:
Brian,

We are well aware of the importance of subsidiarity.


What about parental rights? Or for that matter ALL that the Church teaches?

The 'Universal' that you advocate right now is setting up clinics in schools that WILL among many things prescribe contraceptives and provide abortion 'services' to children WITHOUT consulting parents....

It would seem that the subsidiarity you discuss is that of subsidiarity in name only. Subsidiarity involves much much more than, for instance, funds distribution...

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PostPosted: 26 Nov 2012 21:17 
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Daniel,

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...right now is setting up clinics in schools that WILL among many things prescribe contraceptives and provide abortion 'services' to children WITHOUT consulting parents....



First I've heard of it. Are you able to cite a reliable source?

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PostPosted: 26 Nov 2012 22:38 
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Seamas O Dalaigh wrote:
Daniel,

Quote:
...right now is setting up clinics in schools that WILL among many things prescribe contraceptives and provide abortion 'services' to children WITHOUT consulting parents....



First I've heard of it. Are you able to cite a reliable source?


From a discussion over two years ago: Catholic Online Forum • Health Care Bill: Who has the facts?

dlm wrote:
LASaxman wrote:
dlm wrote:
LASaxman wrote:
I keep hearing conflicting information in the media about whether the controversial health care bill will fund abortions or not.


I would say so. Not only will it fund them, it will create the environment for more of these murders... Assuming this initiative does not get stopped then expect to see health clinics in public schools that will, like mini planned parenthoods, dispense safe sex advice, condoms, birth control pills, and 'family planning' referrals to minors all this without parental consent. That of course is just the tip of the iceberg to expect from this abomination -free counseling, therapy and drugs to calm down all the pesky children is coming to a school near you :roll:

Daniel,

Nice to see you again.

I was asking for facts and you gave me your opinion. Of course, you have a right to express your opinion and give your analysis, but that is not what I was looking for.


Thank You for the welcome. :)

Sadly, I just read some facts today from Washington State which, in its zeal to 'progress', implemented statewide several years ago the school clinics model --the "Social Justice" & "Economic Justice" model GOV in essence wishes to implement nationwide.



-small excerpt:
Quote:
SEATTLE -- The mother of a Ballard High School student is fuming after the health center on campus helped facilitate her daughter's abortion during school hours.

The mother, whom KOMO News has chosen to identify only as "Jill," says the clinic kept the information "confidential."


Social Justice? Economic Justice? Hollow words for the innocent and the innocence that was slaughtered...

The fruit from this tree sure seems rotten to me...

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PostPosted: 27 Nov 2012 09:56 
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Daniel,

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For instance, many aspects of Health are a result of 'good' living. I would suggest that as such, Health Care legitimately must include pointing out clearly those activities that are 'bad'. The Church does this -Obamacare does not.



Obama care requires free wellness checks and at that point, it's up to the doctor, not the government to point out the consequences of unhealthy habits.

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PostPosted: 27 Nov 2012 10:21 
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brianjbyrne wrote:
What does guarantee mean to you? And what does the Church say about that? In very recent memory here in the US, we had bishop after bishop reminding of the principle of subsidiarity precisely in this context. Violating subsidiarity is a "grave" offense - not something to take lightly.

Pax et bonum,

It seems to me that locally administered but centrally funded (e.g. the Canadian and Australian systems seem to run along these lines) systems would respect subsidiarity but also satisfy the solidarity that charity also requires of us.

The problem remains, as Daniel pointed out, that our governments keep wanting to fund ABORTIONS as well as providing universal health care. How can we put full responsibility for health care in the hands of such monsters?

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PostPosted: 27 Nov 2012 10:24 
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Seamas O Dalaigh wrote:
Jeff,

"Universal health care" is the correct term for what you would call "socialised medicine". I'd prefer to avoid the word "socialised" as some will toss it around as a bogey-man word.

I would not call it "socialized medicine", actually. I would call it single-payer. The NHS, where doctors are government employees, would be "socialized medicine".

Defining the very concept of "universal health care" as inherently involving a government bothers me, though. Even as a matter of lexicon, defining the term that way immediately biases the conversation. I am not convinced that only through government payment and gaurantee is universal health care possible.

Seamas O Dalaigh wrote:
Universal health care does not violate the principle of subsidiarity. The funds are distributed by the federal government to "Local Area Health Service" groups who then use the funds as indicated by local needs. One paricular reform some of us would like to see is local community representation as well as health care professionals and administrators.

To be clear, in Australia, do the doctors work for private health providers or for the government as employees?

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PostPosted: 27 Nov 2012 12:38 
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I don't see the necessity for central funding for all. There are many who are quite capable of funding their own health care privately, through insurance.

Pax et bonum,

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PostPosted: 27 Nov 2012 13:13 
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brianjbyrne wrote:
I don't see the necessity for central funding for all. There are many who are quite capable of funding their own health care privately, through insurance.

Good point. Perhaps central funding is only necessary for those who have no ability to fund their own health care privately? Or perhaps central funding is available only for basic services (obviously not to include morally objectionable services) and not for other services?

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PostPosted: 27 Nov 2012 13:26 
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brianjbyrne wrote:
I don't see the necessity for central funding for all. There are many who are quite capable of funding their own health care privately, through insurance.

But "many" can be very far from "all, ,which is the implication of "universal".

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PostPosted: 27 Nov 2012 13:30 
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Jeff,

Yes, that's where I think the Church would consider human development to the extent a family can provide for their own health care a success that shouldn't rightly be tossed aside. You don't unmake the success, you seek to expand upon it.

Central to our failure to provide a universal guarantee or benefit are the systems of care we have established for the poor and retired and the gap of uninsured.

We don't have too much subsidiarity, we lack sufficient solidarity to meet the challenge.

Pax et bonum,

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PostPosted: 27 Nov 2012 13:31 
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David,

This is true.

Pax et bonum,

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PostPosted: 27 Nov 2012 15:15 
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Jeff,

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To be clear, in Australia, do the doctors work for private health providers or for the government as employees?


I believe the vast majority are self-employed.

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PostPosted: 27 Nov 2012 15:17 
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Daniel,

Quote:
From a discussion over two years ago: Catholic Online Forum • Health Care Bill: Who has the facts?


No, Daniel. That is about Obamacare, which we are not talking about and which I have never advocated.

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PostPosted: 27 Nov 2012 15:19 
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Brian,

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There are many who are quite capable of funding their own health care privately, through insurance.



And there are many more who are not.

Quote:
Medibank was the name given to Australia's system of universal health insurance when it was first created by Gough Whitlam's Australian Labor Party government in 1975.[3] Despite a rise in the number of Australians covered by health insurance plans following the end of the Second World War, a large proportion of the Australian population continued to lack coverage for health risks by the early Seventies. In 1972, it was found that 17% of Australians outside of Queensland (which had a free public health care system[4]) were uninsured, most of whom were on low incomes. The Labor government elected that year sought to put an end to this two-tier system and extend healthcare coverage to the entire population.[5]

Medibank commenced on 1 July 1975 after the passing of the Medibank legislation by a joint sitting of Parliament on 6 and 7 August 1974. According to the Second Reading Speech of the Health Insurance Bill 1973 delivered by the Hon. Bill Hayden on 29 November 1973, the purpose of Medibank was to provide the 'most equitable and efficient means of providing health insurance coverage for all Australians'. The Health Insurance Bill 1973 and the accompanying bills were rejected by the Senate on three occasions (12 December 1973, 2 April 1974 and 18 July 1974) but were subsequently passed at a joint sitting of both Houses (7 August 1974) following a double dissolution election.

Medibank started on schedule, on 1 July 1975.[3] In nine months, the Health Insurance Commission had increased its staff from 22 to 3500, opened 81 offices, installed 31 minicomputers, 633 terminals and 10 medium-sized computers linked by land-lines to the central computer, and issued registered health insurance cards to 90% of the Australian population.



http://en.wikipedia.org/wiki/Medicare_(Australia)

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PostPosted: 27 Nov 2012 15:47 
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James,

I don't dispute many Americans lack health insurance and don't oppose government action to ensure universal access or efforts to reform the system generally, but do oppose, on grounds of subsidiarity, any approach that would seek to nationalize health care or put government effectively in control of health care, federal, state, or local.

In terms of universal access, the issue is a gap in coverage and broken government systems. Some have proposed the best way to fix the problem is by law to force everyone into the same boat under a government system. From my perspective, in my reading of Church teaching, this is a rather extreme approach - government transgressing rights from the individual and family on up through society. Really, despite the laudable objective the prospect is rather offensive. By any measure it reaches far beyond any mandate for universal access, but instead assumes control of a large swath of free society, ordering it to whatever end. I say that last bit because the end can't simply be universal access - it goes far beyond that.

Others recognize the offense in that approach and seek solutions that more directly address the issue of access and other serious problems in the system. So much as they respect subsidiarity, I'm open to solutions that seek to find the right public/private balance.

I don't know enough about Australia's system to compare it to the US. Some of what I've seen I like, and some I would hope we could do better with the benefit of your experience.

Pax et bonum,

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PostPosted: 27 Nov 2012 16:04 
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James,

Please bear in mind I'm not implying malevolence on the part of those advocating for a centralized system in that there's more to it than universal access. But rather, the solution is part and parcel to a broader vision of society and a broader perspective on government's role in that vision which would quite naturally have government control health care. In such a vision, subsidiarity is at best a tertiary concern, if considered at all, and at worst, deemed suspect, a hindrance to progress.

Pax et bonum,

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PostPosted: 27 Nov 2012 16:06 
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Brian,

As above, any system of universal health care needs to satisfy both subsidiarity and solidarity.

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PostPosted: 27 Nov 2012 16:09 
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James,

I don't disagree, unless of course by solidarity we mean centralized, national health care.

Pax et bonum,

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PostPosted: 27 Nov 2012 16:27 
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Jeff,

Seamas O Dalaigh wrote:
Jeff,

Quote:
To be clear, in Australia, do the doctors work for private health providers or for the government as employees?


I believe the vast majority are self-employed.


Perhaps I need to expand on that a little. GPs usually form partnerships and operate as a group practice. Often these practices employ other (younger) GPs. Specialists tend to operate as sole traders. (I feel a little awkward explaining professional practices in terms of commercial practices - I'm just trying to give you an idea of how it operates.)

Speaking of commercial, I take commercial medicine to be the very thing our Holy Father is being critical of. Irrespective of whether it's Obamacare or what preceeded it, what the US has it essentially health care services run as businesses. Without wishing to seem rude, but simply trying to give you an idea of what I'm talking about, US style medicine is often referred to here as "Kentucky Fried Hospitals".

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PostPosted: 27 Nov 2012 16:35 
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Jeff,

Quote:
It seems to me that locally administered but centrally funded (e.g. the Canadian and Australian systems seem to run along these lines) systems would respect subsidiarity but also satisfy the solidarity that charity also requires of us.

The problem remains, as Daniel pointed out, that our governments keep wanting to fund ABORTIONS


I think that misses the point. The issue of abortion is irrespective of whether there is a system of universal health care or a system of Kentucky Fried Hospitals. Governments spend money on all manner of things I disapprove of, from abortion to anti-smoking advertising campaigns. I am morally responsible for how governments spend my taxes only to the point of which candidates I vote for at an election.

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PostPosted: 27 Nov 2012 16:51 
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James,

I've spent only a few minutes looking into Australian health care and am led to ask the following - would it be fair to say, in your estimation, the Australian health system is moving toward and incentivizing private insurance? I'm not not suggest Australia is in any way abandoning Medicare, but from what I'm reading it seems the government is moving in the direction or more, not less private care and insurance.

Is that fair to say?

Pax et bonum,

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PostPosted: 27 Nov 2012 17:09 
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Brian,

In Australia whether we have a system of universal health care is not politically contentious. (I believe the same is true of the NHS in the UK.)

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Debates regarding Medicare focus on the two-tier system and the role of private health insurance. Controversial issues include:

Whether people with means should take up private health insurance
Whether rebates/incentives should be given in terms of private health insurance
People with health insurance still accessing the tax-payer funded public system rather than relying on their insurance.
People with private health insurance are still required to pay a 1.5% levy on their taxes regardless of their income and usage of the system.

People who take up private health insurance are currently rewarded in a number of ways. They receive a Private Health Insurance Rebate that subsidises 30% of their insurance premiums, increasing to 35% or 40% for people over 65. Critics say that the rebate is an unfair subsidy to those who can afford health insurance, claiming the money would be better spent on public hospitals where it would benefit everyone. Supporters say people must be encouraged into the private health care system, claiming the public system is not universally sustainable for the future. Similarly, even after the introduction of the rebate, some private health insurance organisations have raised their premiums most years,[14] somewhat negating the benefit of the rebate.

As at March 2010 approximately 44.5%[15] of Australians also retain private health insurance, even though they are already entitled to free treatment in public hospitals.



http://en.wikipedia.org/wiki/Medicare_(Australia)#Medicare_and_private_health_insurance

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PostPosted: 27 Nov 2012 17:31 
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James,

I would suggest the more Australia moves toward increased private insurance, the more the public system will effectively be one of universal access while maintaing universal cover.

For the US to strive for universal access as opposed to universal cover is ultimately not so different but in the principle.

Pax et bonum,

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PostPosted: 10 Dec 2012 16:12 
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Of course, I never meant to suggest that Local Health Districts are perfect...

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Health workers on the New South Wales north coast are being told they cannot call colleagues or patients "mate".

A memo was sent out by the Northern NSW Local Health District last week, reminding community and allied health workers in the region about the need for professional language within the workplace at all times.



http://www.abc.net.au/news/2012-12-11/h ... te/4420180


I suppose I should be thankful they don't have more pressing issues to worry about.

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PostPosted: 29 Dec 2012 15:35 
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Kardinal wrote:
Good point. Perhaps central funding is only necessary for those who have no ability to fund their own health care privately? Or perhaps central funding is available only for basic services (obviously not to include morally objectionable services) and not for other services?


Let us not ignore the obvious reason for central funding -central control and central planning. The primary reason to avoid central funding is to avoid central control and central planning that necessarily always follows.

Central funding is the proverbial tyrant camels nose in the tent just as assuredly as government funding of Catholic ministries would necessarily lead to the perversion truth.

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PostPosted: 30 Dec 2012 18:45 
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Daniel,

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The primary reason to avoid central funding is to avoid central control and central planning that necessarily always follows.


The reason the funds come ultimately from a central point is that taxes are collected by that central point. Central funding does not imply central control. The Art Gallery of NSW is funded by the NSW government, but is certainly not controlled by it. It is not told which paintings and sculptures to buy and which not to buy - or indeed whether to buy at all. The NSW State Library is funded by the NSW government, but is certainly not controlled by it. It is not told which books to buy and which not to buy.

Federal examples would include the Australian Broadcasting Corporation and the Special Broadcasting Service, both of which are fully independent of federal government control.

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PostPosted: 30 Dec 2012 19:11 
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Definition of 'Commoditize':

The act of making a process, good or service easy to obtain by making it as uniform, plentiful and affordable as possible. Something becomes commoditized when one offering is nearly indistinguishable from another. As a result of technological innovation, broad-based education and frequent iteration, goods and services become commoditized and, therefore, widely accessible.

My question is, how does commoditized health care NOT ultimately translate into commoditized health?

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PostPosted: 30 Dec 2012 19:26 
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Daniel,

The definition of "commoditized" you've provided clearly differs considerably from our Holy Father's intended meaning. He means to view something as a mere commodity when it is not; to subject it to market forces when it is something which should not be subject to market forces.

Let me put it another way: What Pope Benedict XVI has said has been translated into American English and the vague word "commoditize" has been used. (And you have chosen to take it in the wrong sense.) Clearly, from the context and meaning, he intends the other sense, the sense of what is meant by the Standard English word "commodify":

Quote:
turn into or treat as a mere commodity


http://oxforddictionaries.com/definitio ... =commodify

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PostPosted: 30 Dec 2012 20:45 
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From the top of this thread

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Good health is a benefit that needs to be defended and guaranteed for all people, not just for those who can afford it, Pope Benedict XVI told hundreds of health care workers...

Hospitals and other facilities "must rethink their particular role in order to avoid having health become a simple 'commodity,' subordinate to the laws of the market, and, therefore, a good reserved to a few, rather than a universal good to be guaranteed and defended," he said.



His intended meaning should be clear enough.

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PostPosted: 30 Dec 2012 22:36 
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Seamas O Dalaigh wrote:
Daniel,

The definition of "commoditized" you've provided clearly differs considerably from our Holy Father's intended meaning. He means to view something as a mere commodity when it is not; to subject it to market forces when it is something which should not be subject to market forces.


I was simply contrasting health with health care employing a common definition of commodity.

Market forces are good -it is monopolies, price fixing, central planning, and central control that are bad. Case in point the USSR and for that matter ALL collectivist experiments attempted by man that killed millions.

Anyway, I agree his intended meaning differs considerably from what I presented -as well, the topic on point was health -NOT health care. But why let details get in the way of a good centrally planned and administered universal health care plan which ALWAYS translates into good health for all?

For that matter why let any other Church teaching get in the way.

Now --if for instance one looked at food and water as basic necessities for life THEN why not would the Church suggest that both NOT be subject to market forces? Clearly the quality and abundance and cost of food would improve greatly if there was adopted a universal food plan?

In conclusion I think what was meant is exactly the opposite of what some are selling. I think that what is really to be avoided are monopolies on goods and services -such as the health care monopoly that insurance companies colluded among themselves on with the assistance of government. The health care monopoly that will become institutionalized through the adoption and implementation of Obamacare.

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PostPosted: 01 Jan 2013 16:20 
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Daniel,

Quote:
But why let details get in the way of a good centrally planned and administered universal health care plan which ALWAYS translates into good health for all?



So what's with the straw man argument?

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