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	<title>Comments on: Unhealthy Distortions</title>
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	<description>where orders emerge</description>
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		<title>By: Anonymous</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177704</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Thu, 20 Aug 2009 23:46:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177704</guid>
		<description>My original point was that health care is already controlled by the government, either overtly or covertly. When laws are passed mandating certain types of care, then someone must pay. This is reflected in our (including my own) premiums and copays. We are all sharing the cost of the uninsured citizens and non citizens already. Look at the history of State run mental health institutes and the aftereffect of deinstitutionalization. It was a boon for privately run correctional facilities as poorly treated patients were released to the communities and ended up with no infrastructure in place for adequate support. If a law is passed, there must be the will to back it up with resources. We must all agree to the consequences both public and personal no matter which way this issue goes. 
Regarding market forces-end of life care, emergency care, care for chonic health conditions all take a great share of the existing  health care pie. I don&#039;t think the traditional economic principles apply in these situations. For example, when my car breaks down, I am inconvenienced, but I can find ways to get good car care at a reasonable price, because there are other ways to get around. When I wake up in the middle of the night with shortness of breath or a 103 degree fever, I&#039;m in no position to call around and find the best deal. I&#039;m not an economist, so I don&#039;t know what this sort of model is, but it doesn&#039;t strike me as a clear supply-demand model.</description>
		<content:encoded><![CDATA[<p>My original point was that health care is already controlled by the government, either overtly or covertly. When laws are passed mandating certain types of care, then someone must pay. This is reflected in our (including my own) premiums and copays. We are all sharing the cost of the uninsured citizens and non citizens already. Look at the history of State run mental health institutes and the aftereffect of deinstitutionalization. It was a boon for privately run correctional facilities as poorly treated patients were released to the communities and ended up with no infrastructure in place for adequate support. If a law is passed, there must be the will to back it up with resources. We must all agree to the consequences both public and personal no matter which way this issue goes.<br />
Regarding market forces-end of life care, emergency care, care for chonic health conditions all take a great share of the existing  health care pie. I don&#8217;t think the traditional economic principles apply in these situations. For example, when my car breaks down, I am inconvenienced, but I can find ways to get good car care at a reasonable price, because there are other ways to get around. When I wake up in the middle of the night with shortness of breath or a 103 degree fever, I&#8217;m in no position to call around and find the best deal. I&#8217;m not an economist, so I don&#8217;t know what this sort of model is, but it doesn&#8217;t strike me as a clear supply-demand model.</p>
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		<title>By: Sam Grove</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177335</link>
		<dc:creator>Sam Grove</dc:creator>
		<pubDate>Tue, 18 Aug 2009 16:12:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177335</guid>
		<description>Nope, I experimented and can&#039;t strike.</description>
		<content:encoded><![CDATA[<p>Nope, I experimented and can&#8217;t strike.</p>
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		<title>By: Methinks</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177310</link>
		<dc:creator>Methinks</dc:creator>
		<pubDate>Tue, 18 Aug 2009 13:26:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177310</guid>
		<description>&lt;i&gt;will decide not to sell you a particular plan at *any* price because you don&#039;t qualify.&lt;/i&gt;

My understanding is that they will sell you a plan at &lt;i&gt;some&lt;/i&gt; price but they a prohibited from selling a plan at a price high enough to cover their costs and that price won&#039;t be much different from you paying out of pocket.

Since all conditions include some randomness, if you remain uninsured, you bear the volatility of spending on your condition.  &quot;Insuring&quot; yourself merely reduces the volatility, I think.</description>
		<content:encoded><![CDATA[<p><i>will decide not to sell you a particular plan at *any* price because you don&#8217;t qualify.</i></p>
<p>My understanding is that they will sell you a plan at <i>some</i> price but they a prohibited from selling a plan at a price high enough to cover their costs and that price won&#8217;t be much different from you paying out of pocket.</p>
<p>Since all conditions include some randomness, if you remain uninsured, you bear the volatility of spending on your condition.  &#8220;Insuring&#8221; yourself merely reduces the volatility, I think.</p>
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		<title>By: Max</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177289</link>
		<dc:creator>Max</dc:creator>
		<pubDate>Tue, 18 Aug 2009 07:47:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177289</guid>
		<description>I think you misunderstood their idea of &quot;decide whether to give you coverage&quot;, by which they mean that coporations don&#039;t want people that are unhealthy (or have a genetic disease that might get costly). 
They don&#039;t argue that there is no choice, but that people with pre-existing conditions or already sick people won&#039;t get an insurance they can afford.

Though I see this rather as not a failure to insure, but rather a failure of welfare, because it is not insuring against a risk, if the event has already occured. But boiled down this is the major criticism of your opponents.</description>
		<content:encoded><![CDATA[<p>I think you misunderstood their idea of &#8220;decide whether to give you coverage&#8221;, by which they mean that coporations don&#8217;t want people that are unhealthy (or have a genetic disease that might get costly).<br />
They don&#8217;t argue that there is no choice, but that people with pre-existing conditions or already sick people won&#8217;t get an insurance they can afford.</p>
<p>Though I see this rather as not a failure to insure, but rather a failure of welfare, because it is not insuring against a risk, if the event has already occured. But boiled down this is the major criticism of your opponents.</p>
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		<title>By: Anonymous</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177276</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 18 Aug 2009 04:41:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177276</guid>
		<description>Considering the embarrassment he&#039;s made of himself at the Cafe, I actually feel sorry for him being outed--if that really is him.</description>
		<content:encoded><![CDATA[<p>Considering the embarrassment he&#8217;s made of himself at the Cafe, I actually feel sorry for him being outed&#8211;if that really is him.</p>
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		<title>By: Anonymous</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177274</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 18 Aug 2009 04:30:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177274</guid>
		<description>&quot;you probably already know that the vast majority of people seeking care in emergency rooms are insured&quot;

Great point.  Among the many misconceptions out their is that health care costs are high because of cost shifting from the uninsured.  The only estimates I&#039;ve seen are that the uninsured results in less than 2% of health care expenditures.

The fact is that most cost shifting is from the INSURED--mostly the government insured.

Which is why if the government covered everybody, even those currently covered by the government would see a decrease in the quality of their care--there would be no private system to cost-shift from.</description>
		<content:encoded><![CDATA[<p>&#8220;you probably already know that the vast majority of people seeking care in emergency rooms are insured&#8221;</p>
<p>Great point.  Among the many misconceptions out their is that health care costs are high because of cost shifting from the uninsured.  The only estimates I&#8217;ve seen are that the uninsured results in less than 2% of health care expenditures.</p>
<p>The fact is that most cost shifting is from the INSURED&#8211;mostly the government insured.</p>
<p>Which is why if the government covered everybody, even those currently covered by the government would see a decrease in the quality of their care&#8211;there would be no private system to cost-shift from.</p>
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		<title>By: Anonymous</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177264</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 18 Aug 2009 03:02:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177264</guid>
		<description>It&#039;s just that you have to actually make a point before I can respond to it.

If you go shopping, I think you&#039;ll find that nobody will sell you a 3 mm thick 100 inch 240 kHz wireless HDMI OLED TV at any price either.  

So I still don&#039;t see your point. 

It is impossible for any market to ever provide for sale every product or service imaginable to man.  However, no system provides a greater array of choices at lower costs than the profit-driven free market.</description>
		<content:encoded><![CDATA[<p>It&#8217;s just that you have to actually make a point before I can respond to it.</p>
<p>If you go shopping, I think you&#8217;ll find that nobody will sell you a 3 mm thick 100 inch 240 kHz wireless HDMI OLED TV at any price either.  </p>
<p>So I still don&#8217;t see your point. </p>
<p>It is impossible for any market to ever provide for sale every product or service imaginable to man.  However, no system provides a greater array of choices at lower costs than the profit-driven free market.</p>
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		<title>By: Ryan</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177262</link>
		<dc:creator>Ryan</dc:creator>
		<pubDate>Tue, 18 Aug 2009 02:52:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177262</guid>
		<description>Apparently, I&#039;m confused about why you&#039;re asking since it seemed so obvious to me.  In a market for goods, such as a &quot;flat-screen t.v.&quot; (Mr. Boudreaux&#039;s choice of product to compare) the buyer and sellers decide on a price for that good and complete the transaction.  This is rather different than health insurance where the company will decide not to sell you a particular plan at *any* price because you don&#039;t qualify.  I&#039;m not suggesting this practice is wrong, just that it&#039;s not the same as TV&#039;s.

If you&#039;re in the LA area we should get together to discuss it, I&#039;m sure you could help me understand economics better.  And it would do you some good to get out from behind a computer screen and learn how to interact with people.</description>
		<content:encoded><![CDATA[<p>Apparently, I&#8217;m confused about why you&#8217;re asking since it seemed so obvious to me.  In a market for goods, such as a &#8220;flat-screen t.v.&#8221; (Mr. Boudreaux&#8217;s choice of product to compare) the buyer and sellers decide on a price for that good and complete the transaction.  This is rather different than health insurance where the company will decide not to sell you a particular plan at *any* price because you don&#8217;t qualify.  I&#8217;m not suggesting this practice is wrong, just that it&#8217;s not the same as TV&#8217;s.</p>
<p>If you&#8217;re in the LA area we should get together to discuss it, I&#8217;m sure you could help me understand economics better.  And it would do you some good to get out from behind a computer screen and learn how to interact with people.</p>
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		<title>By: Sam Grove</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177260</link>
		<dc:creator>Sam Grove</dc:creator>
		<pubDate>Tue, 18 Aug 2009 02:46:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177260</guid>
		<description>My wife buys McDonald&#039;s gift cards to keep in the car to hand out to hungry people.

There are no people in the U.S. that starve for lack of food. Glide Memorial church, among many other charitable organizations takes a great hand in that.

OTH, in countries where the government is responsible for supplying food, people often starve because the food isn&#039;t there.

Do you know the story of the early American colony that tried to practice communism in the production and distribution of food?

If you can remind us of the colony name,  Don, I&#039;m sure the story will be of interest.</description>
		<content:encoded><![CDATA[<p>My wife buys McDonald&#8217;s gift cards to keep in the car to hand out to hungry people.</p>
<p>There are no people in the U.S. that starve for lack of food. Glide Memorial church, among many other charitable organizations takes a great hand in that.</p>
<p>OTH, in countries where the government is responsible for supplying food, people often starve because the food isn&#8217;t there.</p>
<p>Do you know the story of the early American colony that tried to practice communism in the production and distribution of food?</p>
<p>If you can remind us of the colony name,  Don, I&#8217;m sure the story will be of interest.</p>
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		<title>By: Anonymous</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177255</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 18 Aug 2009 02:35:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177255</guid>
		<description>You are still not making a point.  Any two distinct concepts have both similarities and differences.  

What is it that is different about those two markets, and why is that relevant?  This shouldn&#039;t be hard.  Just be a little introspective and ask yourself that question.  Then tell me.</description>
		<content:encoded><![CDATA[<p>You are still not making a point.  Any two distinct concepts have both similarities and differences.  </p>
<p>What is it that is different about those two markets, and why is that relevant?  This shouldn&#8217;t be hard.  Just be a little introspective and ask yourself that question.  Then tell me.</p>
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		<title>By: Gil</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177253</link>
		<dc:creator>Gil</dc:creator>
		<pubDate>Tue, 18 Aug 2009 02:27:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177253</guid>
		<description>Of course McDonalds is rationing - they want to make sure all their burgers go the highest bidders.  Or to put it another way McDonalds sell only to those who can pay for a burger regardless of how hungry they are.  So would it be with privatised medical care.  Some believe this would be a good thing as people stop doing stupid and risky practices because they can no longer afford to incur a serious injury.</description>
		<content:encoded><![CDATA[<p>Of course McDonalds is rationing &#8211; they want to make sure all their burgers go the highest bidders.  Or to put it another way McDonalds sell only to those who can pay for a burger regardless of how hungry they are.  So would it be with privatised medical care.  Some believe this would be a good thing as people stop doing stupid and risky practices because they can no longer afford to incur a serious injury.</p>
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		<title>By: Ryan</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177250</link>
		<dc:creator>Ryan</dc:creator>
		<pubDate>Tue, 18 Aug 2009 02:19:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177250</guid>
		<description>The point is comparing TV&#039;s to health insurance doesn&#039;t make sense, they are different kinds of markets.</description>
		<content:encoded><![CDATA[<p>The point is comparing TV&#8217;s to health insurance doesn&#8217;t make sense, they are different kinds of markets.</p>
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		<title>By: Anonymous</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177248</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 18 Aug 2009 02:08:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177248</guid>
		<description>The obligation for emergency rooms to serve anybody that comes has been law for a really long time.  Sure that&#039;s &quot;rationing&quot;.  Are we arguing over that or health reform?  It&#039;s like that post the other day when people were jumping back and forth between arguing against the public option, the mandate, and single payer.  These are different interventions.

Health reform deals with insurance - not care.</description>
		<content:encoded><![CDATA[<p>The obligation for emergency rooms to serve anybody that comes has been law for a really long time.  Sure that&#8217;s &#8220;rationing&#8221;.  Are we arguing over that or health reform?  It&#8217;s like that post the other day when people were jumping back and forth between arguing against the public option, the mandate, and single payer.  These are different interventions.</p>
<p>Health reform deals with insurance &#8211; not care.</p>
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		<title>By: Anonymous</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177242</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 18 Aug 2009 01:18:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177242</guid>
		<description>Because...they&#039;re spelled differently?  Because one you can plug into the wall?  Because you think TVs are more fun?  Because you can&#039;t think of what you wanted to say?

Be a little more specific.  You can do it.  Actually make your point.</description>
		<content:encoded><![CDATA[<p>Because&#8230;they&#8217;re spelled differently?  Because one you can plug into the wall?  Because you think TVs are more fun?  Because you can&#8217;t think of what you wanted to say?</p>
<p>Be a little more specific.  You can do it.  Actually make your point.</p>
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		<title>By: sandre</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177217</link>
		<dc:creator>sandre</dc:creator>
		<pubDate>Mon, 17 Aug 2009 22:56:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177217</guid>
		<description>Kuehn is a disingenuous spin master. However, he is much more polite, cultured and less of a hypocrite than  that embarrassment known by the handle muirgeo - a.k.a George Ballela</description>
		<content:encoded><![CDATA[<p>Kuehn is a disingenuous spin master. However, he is much more polite, cultured and less of a hypocrite than  that embarrassment known by the handle muirgeo &#8211; a.k.a George Ballela</p>
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		<title>By: Methinks</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177214</link>
		<dc:creator>Methinks</dc:creator>
		<pubDate>Mon, 17 Aug 2009 22:45:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177214</guid>
		<description>rats!  Thanks, brotio.</description>
		<content:encoded><![CDATA[<p>rats!  Thanks, brotio.</p>
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		<title>By: Methinks</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177213</link>
		<dc:creator>Methinks</dc:creator>
		<pubDate>Mon, 17 Aug 2009 22:44:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177213</guid>
		<description>Marcus,

It&#039;s difficult to assess a person&#039;s medical need just sitting in the emergency room watching people come in and out.  It&#039;s also difficult to assess what exactly they&#039;re doing there.  Sometimes it&#039;s easier to quickly process a returning patient or equipment for their specific injury has freed up or any number of other things.

When I lived in NYC and had insurance, I sprained my ankle running.  I knew exactly what it was and how to treat it, but I needed crutches to get to work.  The medical supply informed me that I must go to the emergency room to obtain said crutches.  Why must I suck some ER doctor&#039;s time to get two sticks to lean on?  I will never know.

When I cut off my fingertip in a kitchen accident (it&#039;s fine now), the ER took me right away and asked if I had insurance only as I was checking out.

The story I told you is real - it happened to my cousin - and she sat around for hours before they finally tested her.  She had insurance.

I&#039;m assuming your ex-girlfriend wasn&#039;t bleeding to death as she waited.
</description>
		<content:encoded><![CDATA[<p>Marcus,</p>
<p>It&#8217;s difficult to assess a person&#8217;s medical need just sitting in the emergency room watching people come in and out.  It&#8217;s also difficult to assess what exactly they&#8217;re doing there.  Sometimes it&#8217;s easier to quickly process a returning patient or equipment for their specific injury has freed up or any number of other things.</p>
<p>When I lived in NYC and had insurance, I sprained my ankle running.  I knew exactly what it was and how to treat it, but I needed crutches to get to work.  The medical supply informed me that I must go to the emergency room to obtain said crutches.  Why must I suck some ER doctor&#8217;s time to get two sticks to lean on?  I will never know.</p>
<p>When I cut off my fingertip in a kitchen accident (it&#8217;s fine now), the ER took me right away and asked if I had insurance only as I was checking out.</p>
<p>The story I told you is real &#8211; it happened to my cousin &#8211; and she sat around for hours before they finally tested her.  She had insurance.</p>
<p>I&#8217;m assuming your ex-girlfriend wasn&#8217;t bleeding to death as she waited.</p>
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		<title>By: Anonymous</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177211</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 17 Aug 2009 22:27:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177211</guid>
		<description>Methinks,

I tried the strike feature on an earlier thread, right after the change-of-venue. 

I guess that that particular HTML code isn&#039;t recognized on this server, which is a pity. It&#039;s a wonderful tool for illustrating the doublespeak that Statists are so fond of.</description>
		<content:encoded><![CDATA[<p>Methinks,</p>
<p>I tried the strike feature on an earlier thread, right after the change-of-venue. </p>
<p>I guess that that particular HTML code isn&#8217;t recognized on this server, which is a pity. It&#8217;s a wonderful tool for illustrating the doublespeak that Statists are so fond of.</p>
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		<title>By: Marcus</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-177210</link>
		<dc:creator>Marcus</dc:creator>
		<pubDate>Mon, 17 Aug 2009 22:17:00 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-177210</guid>
		<description>I use to date a girl who didn&#039;t have insurance.  She made occasional use of the emergency room.  I spent some time waiting in there with her (what a productive use of people&#039;s time!).

Now, while sitting there I observed when people came in and how long it took to get waited on.  Some people came in and got waited on in relatively short order while others waited and waited.

Now I never asked but I wondered if that wasn&#039;t based on if someone had insurance or not.  But that&#039;s just speculation.

I certainly didn&#039;t observe any evidence that it was in any way based on a person being in more need of immediate care.

Supporting that, not too long ago a co-worker, who has insurance, paid a visit to the emergency room and he mentioned that he got in right away with almost no wait.

My girlfriend and I waited for hours every time we were there.
</description>
		<content:encoded><![CDATA[<p>I use to date a girl who didn&#8217;t have insurance.  She made occasional use of the emergency room.  I spent some time waiting in there with her (what a productive use of people&#8217;s time!).</p>
<p>Now, while sitting there I observed when people came in and how long it took to get waited on.  Some people came in and got waited on in relatively short order while others waited and waited.</p>
<p>Now I never asked but I wondered if that wasn&#8217;t based on if someone had insurance or not.  But that&#8217;s just speculation.</p>
<p>I certainly didn&#8217;t observe any evidence that it was in any way based on a person being in more need of immediate care.</p>
<p>Supporting that, not too long ago a co-worker, who has insurance, paid a visit to the emergency room and he mentioned that he got in right away with almost no wait.</p>
<p>My girlfriend and I waited for hours every time we were there.</p>
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		<title>By: Unhealthy Distortions &#124; TVPuzzle</title>
		<link>http://cafehayek.com/2009/08/unhealthy-distortions.html/comment-page-1#comment-56564</link>
		<dc:creator>Unhealthy Distortions &#124; TVPuzzle</dc:creator>
		<pubDate>Mon, 17 Aug 2009 21:50:01 +0000</pubDate>
		<guid isPermaLink="false">http://cafehayek.com/?p=5834#comment-56564</guid>
		<description>[...] Follow this link: Unhealthy Distortions [...]</description>
		<content:encoded><![CDATA[<p>[...] Follow this link: Unhealthy Distortions [...]</p>
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