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2008-11-06 2:16 PM
in reply to: #1792740

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Edited by AcesFull 2008-11-06 2:21 PM


2008-11-06 2:17 PM
in reply to: #1792818

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Edited by AcesFull 2008-11-06 2:19 PM
2008-11-06 2:18 PM
in reply to: #1792881

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2008-11-06 2:30 PM
in reply to: #1792918

Expert
1603
1000500100
Westchester, NY
Subject: RE: What are the top 4 things you would change if you could in our country?
SweetK - 2008-11-06 3:18 PM
trinnas - 2008-11-06 3:10 PM
scoobysdad - 2008-11-06 3:07 PM
Fatdoggy - 2008-11-06 2:02 PM
SweetK - 2008-11-06 2:59 PM
scoobysdad - 2008-11-06 2:58 PM
Fatdoggy - 2008-11-06 1:54 PM

Not sure if this has been posted yet or not....

Mandatory one year minimum in the service upon graduation of high school.

I actually think that would be a great idea for America. But if I'm honest, I'm really surprised to hear you say it.
Men and women alike? Define service, if you mean human services, I agree.

Everyone.  I've not worked out ALL the details of course, but either military service, peace corps or something along those lines.  I'm open to other suggestions.  Maybe we can get a consensus here.  ;-)

I would like it if everyone had to go through military bootcamp. Then you could choose to go into the armed services, Peace Corps, or perhaps some sort of domestic-serving version of the Peace Corps.

Aw man you're killing me.  I'd never make it through boot camp.  I'd mouth off to the wrong drill instructor and wind up peeling potatoes for the rest of my life.

For some reason that cracked me up Thanks for making me laugh.

It's the tater peelers who would need this program more then anyone.  FWIW right out of HS I'd have been peelin' right alongside ya! ;-)

We could call the program "The American STFU and HTFU Services."

2008-11-06 2:32 PM
in reply to: #1792965

Champion
6056
500010002525
Menomonee Falls, WI
Subject: RE: What are the top 4 things you would change if you could in our country?
Fatdoggy - 2008-11-06 2:30 PM

SweetK - 2008-11-06 3:18 PM
trinnas - 2008-11-06 3:10 PM
scoobysdad - 2008-11-06 3:07 PM
Fatdoggy - 2008-11-06 2:02 PM
SweetK - 2008-11-06 2:59 PM
scoobysdad - 2008-11-06 2:58 PM
Fatdoggy - 2008-11-06 1:54 PM

Not sure if this has been posted yet or not....

Mandatory one year minimum in the service upon graduation of high school.

I actually think that would be a great idea for America. But if I'm honest, I'm really surprised to hear you say it.
Men and women alike? Define service, if you mean human services, I agree.

Everyone.  I've not worked out ALL the details of course, but either military service, peace corps or something along those lines.  I'm open to other suggestions.  Maybe we can get a consensus here.  ;-)

I would like it if everyone had to go through military bootcamp. Then you could choose to go into the armed services, Peace Corps, or perhaps some sort of domestic-serving version of the Peace Corps.

Aw man you're killing me.  I'd never make it through boot camp.  I'd mouth off to the wrong drill instructor and wind up peeling potatoes for the rest of my life.

For some reason that cracked me up Thanks for making me laugh.

It's the tater peelers who would need this program more then anyone.  FWIW right out of HS I'd have been peelin' right alongside ya! ;-)

We could call the program "The American STFU and HTFU Services."




I'm sold. Submit this idea to The Overlord!

2008-11-06 2:44 PM
in reply to: #1792907

Extreme Veteran
500
500
On the road...somewhere
Subject: RE: What are the top 4 things you would change if you could in our country?
AcesFull - 2008-11-06 2:16 PM

triturn - 2008-11-06 1:35 PM
AcesFull - 2008-11-06 12:31 PM
DanielG - 2008-11-06 12:13 PM
AcesFull - 2008-11-06 12:38 PM

1) Some form of Universal Healthcare that provides low cost medical coverage to EVERY SINGLE AMERICAN.

How are you going to pay for it? If you mandate shorting the companies, then there won't be near as many new drugs out and it won't be worth it to even consider starting up so you've just created monopolies from that. You're also eliminating all incentive to go into the medical field. That will suck in 10 years or so, just like it's done everywhere else it's tried.

As I've said so many times before:

1) Drug companies spend twice as much on marketing as they do on R&D.  Eliminate all marketing and there is plenty of money for R&D.  Drug companies are paid through the system, just as doctors will be. 

2) Just because other systems have flaws doesn't mean we can't do it better.  I'm in the medical field and plan to get paid under a national system.  The incentive for hard work is still there.  Our current system is unacceptable.

3) The question was "what would I change if I could?"  I said what I would change. 

Why do assume that eliminating the $ spent on marketing would be shifted to R&D? It may just turn into more profit for the industry. If a drug company spends seven years on research and development, they're going to recoup that expense and they're going to want to win against competitors to do it. That necessitates a marketing budget and it's the price society pays for having the best pharmaceuticals in the world.

I don't assume that.  The argument made is that somehow having universal coverage would kill R&D.  In fact, it would do the opposite as many who cannot afford meds now will be able to, which increases sales.  If for some reason national healthcare DID impact income negatively, that money could easily be made up through eliminating the monstrous marketing budget, which does nothing to advance patient care.  The idea that giving doctors' offices free lunches and all sorts of other incentives is needed in order to make a profit is insane.  Sure, not marketing will likely cut into profits some, as doctors make better choices regarding cost vs. benefit.  This will, in turn, bring down the cost of healthcare in general, which will be one of the benefits of universal healthcare.  Drug companies make more $$, patients get better care, costs go down.  Who is this bad for?

Thankfully, many MD offices are banning drug reps altogether.  Sadly, the drug companies are still spending millions to direct market to consumers.



Greater access to meds is a good thing.
Don't think that bringing lunches into an office to get time to go over a clinical study is what reps want to do. I never liked my car smelling like pizza or handing out pens. However, many offices only saw reps during lunch and to be frank, I can't go over a clinical reprint and do it justice in 30 seconds. I'm sure you'll say that you don't need a rep to help keep you up to speed on the journals. If true, you're are in the minority.


2008-11-06 2:47 PM
in reply to: #1791836

Subject: ...
This user's post has been ignored.
2008-11-06 2:50 PM
in reply to: #1791836

Expert
946
50010010010010025
Barrington Area, IL
Subject: RE: What are the top 4 things you would change if you could in our country?
1. A fair tax code where EVERYONE pays their fair share. No one should pay absolutely nothing. It is proven that when people get things for free that they don't appreciate it or respect what they have been given.

2. Doing away with corruption at all levels of government and use tax money wisely. The answer to every question should not be to raise taxes.

3. Overhaul the education system in America. Throwing more money at the problem does not fix it. For example in Chicago there are complaints about needing more money but they outspend one of the countries best school district in suburban Chicago (Naperville). Parents have to get involved - there is no better answer than that.

4. Fix ILLEGAL immigration. The US lets in more LEGAL immigrant that all other countries in the world combined. WE need to get rid of people who do not wait their turn as others have. This also has huge national defense issues as well.

Also on a lighter note my sub 4:

Chicago Cubs, Bears, Blackhawks all win their respective championships. And my NIU Huskies get in a BCS bowl.
2008-11-06 2:58 PM
in reply to: #1793043

Champion
18680
50005000500020001000500100252525
Lost in the Luminiferous Aether
Subject: RE: What are the top 4 things you would change if you could in our country?

PennState - 2008-11-06 3:47 PM Actually the drug reps are unfairly under heavy attack IMHO these days. My office is banning lunches as of Jan. 1st 2009. Guess we docs are too febble minded to avoid the reps influencing us...

Aw come on you know you docs will do anything for the price of a sandwich

2008-11-06 3:08 PM
in reply to: #1793098

Subject: ...
This user's post has been ignored.
2008-11-06 3:44 PM
in reply to: #1793156

Extreme Veteran
500
500
On the road...somewhere
Subject: RE: What are the top 4 things you would change if you could in our country?
PennState - 2008-11-06 3:08 PM

mmmmmmm...... sandwiches


Dr. based on this sandwich do you have any reservations prescribing Noassatall for all of your flat a$$ed patients?


2008-11-06 3:50 PM
in reply to: #1792965

Elite
3519
20001000500
San Jose, CA
Subject: RE: What are the top 4 things you would change if you could in our country?
Fatdoggy - 2008-11-06 12:30 PM
SweetK - 2008-11-06 3:18 PM
trinnas - 2008-11-06 3:10 PM
scoobysdad - 2008-11-06 3:07 PM
Fatdoggy - 2008-11-06 2:02 PM
SweetK - 2008-11-06 2:59 PM
scoobysdad - 2008-11-06 2:58 PM
Fatdoggy - 2008-11-06 1:54 PM

Not sure if this has been posted yet or not....

Mandatory one year minimum in the service upon graduation of high school.

I actually think that would be a great idea for America. But if I'm honest, I'm really surprised to hear you say it.
Men and women alike? Define service, if you mean human services, I agree.

Everyone.  I've not worked out ALL the details of course, but either military service, peace corps or something along those lines.  I'm open to other suggestions.  Maybe we can get a consensus here.  ;-)

I would like it if everyone had to go through military bootcamp. Then you could choose to go into the armed services, Peace Corps, or perhaps some sort of domestic-serving version of the Peace Corps.

Aw man you're killing me.  I'd never make it through boot camp.  I'd mouth off to the wrong drill instructor and wind up peeling potatoes for the rest of my life.

For some reason that cracked me up Thanks for making me laugh.

It's the tater peelers who would need this program more then anyone.  FWIW right out of HS I'd have been peelin' right alongside ya! ;-)

We could call the program "The American STFU and HTFU Services."

I like it...I actually agree with this...some sort of mandatory civil service.  The thing with this is...You would have to allow gays in the military at that point in time (ie Spain did the same thing.  As religious as that country is, gays are allowed in their military as it is required of all to serve).

2008-11-06 5:17 PM
in reply to: #1793331

Expert
1603
1000500100
Westchester, NY
Subject: RE: What are the top 4 things you would change if you could in our country?
runningwoof - 2008-11-06 4:50 PM
Fatdoggy - 2008-11-06 12:30 PM
SweetK - 2008-11-06 3:18 PM
trinnas - 2008-11-06 3:10 PM
scoobysdad - 2008-11-06 3:07 PM
Fatdoggy - 2008-11-06 2:02 PM
SweetK - 2008-11-06 2:59 PM
scoobysdad - 2008-11-06 2:58 PM
Fatdoggy - 2008-11-06 1:54 PM

Not sure if this has been posted yet or not....

Mandatory one year minimum in the service upon graduation of high school.

I actually think that would be a great idea for America. But if I'm honest, I'm really surprised to hear you say it.
Men and women alike? Define service, if you mean human services, I agree.

Everyone.  I've not worked out ALL the details of course, but either military service, peace corps or something along those lines.  I'm open to other suggestions.  Maybe we can get a consensus here.  ;-)

I would like it if everyone had to go through military bootcamp. Then you could choose to go into the armed services, Peace Corps, or perhaps some sort of domestic-serving version of the Peace Corps.

Aw man you're killing me.  I'd never make it through boot camp.  I'd mouth off to the wrong drill instructor and wind up peeling potatoes for the rest of my life.

For some reason that cracked me up Thanks for making me laugh.

It's the tater peelers who would need this program more then anyone.  FWIW right out of HS I'd have been peelin' right alongside ya! ;-)

We could call the program "The American STFU and HTFU Services."

I like it...I actually agree with this...some sort of mandatory civil service.  The thing with this is...You would have to allow gays in the military at that point in time (ie Spain did the same thing.  As religious as that country is, gays are allowed in their military as it is required of all to serve).

IMO I do not care of you are man or woman, black or white, gay or straight...anything.  If you're an American citizen and you graduate HS (or get a GED?) you're in.  Now STFU and HTFU.  :-)

2008-11-06 7:15 PM
in reply to: #1791836

Master
2125
200010025
Subject: RE: What are the top 4 things you would change if you could in our country?
I just posted this in my blog yesterday:

1. A balanced budget (I don't care how you get there so much as our country is sufficiently protected from threats both foreign and domestic)
2. Revamp Social Security so that it is an investment rather than a spending and IOU program (I really don't mind forced savings; please just make sure I get a decent return on my investment (I'll settle for 5% but I think we could easily get 10%); as I have calculated it, I would get -4% return)
3. Get us out of Iraq and Afghanistan. I lean more towards domestic issues than foreign ones. (BTW, I think Bush failed us in this. There are other ways to take care of foreign threats that don't cost us the $ that these two wars have cost us).
4. Reduce our dependence on foreign credit and oil. Foreign credit is resolved by #1 above. Foreign oil is resolved by investments in nuclear energy and a revamped personal transportation system.
2008-11-06 7:39 PM
in reply to: #1791836

Champion
5312
5000100100100
Calgary
Subject: RE: What are the top 4 things you would change if you could in our country?
4 things to change America (not my country but would work equally well)

1. Increase the tax on tobacco and alcohol products to %10,000 (and you know what, grow and brew your own with no tax consequences);

okay just one, I would like to tax all the stupid and pointless (in my opinion) habits (Junk food, fast food, tv, movies, video games, NFL.NHL.NBA,MBA games) but I suppose I can't ask for that, if I could figure out some way to limit its use or make it super expensive that would do as well.

of course, the old mantra, change starts with one, so I imagine I should try to change myself for the better.
2008-11-07 7:26 AM
in reply to: #1791836

Master
1704
1000500100100
Long Island, NY
Subject: RE: What are the top 4 things you would change if you could in our country?

1. Eliminate Pork/Lobbyists: Why should $$$ get you easier access to my rep.?

2. Abbrevitated DMV Re-testing once Drivers hit 60yrs/70yrs/75yrs/etc.. Amazes me that you take this test once, when you're 16-17 and never have to take it again...EVER.

3.  Eliminate Evil-Doers.  Can't we all just get along??

4.  March 10 National Holiday: Why? Why it's Chuck Norris' birthday, of course.



2008-11-07 7:27 AM
in reply to: #1793098

Subject: ...
This user's post has been ignored.
2008-11-07 12:16 PM
in reply to: #1792879

Elite
4564
200020005002525
Boise
Subject: RE: What are the top 4 things you would change if you could in our country?
Wolff27 - 2008-11-06 2:10 PM
rayd - 2008-11-06 12:41 PM

2. Regulate Health Care Providers and drug companies...as Ace mentioned, marketing should not be necessary for the drug companies.  Trust your doctor to find you the best perscription...don't let a TV commercial influence you to get on a new drug.

 

WOW - talk about socialism. A private company that has spent MILLIONS coming up with a new drug cannot market it? There are often 2 or more companies that have competing drugs, even if you don't want TV ads they still need to market this to the doctors & hospitals. Only 1 out of 100+ drugs ever make it to market. If it was left up to only the government we would have no where near the successful remedies that we do now. Also - low cost healthcare - someone has to pay for it. Or are nurses, doctors, hospital staff all going to work at huge paycuts?

 

Out of curiosity who are they advertising to? If I'm suggesting drugs I should take to my doctor, I want a new doctor that knows what's going on. I believe that a lot of this advertising is what is causing so many people to take drugs for all of their problems.

2008-11-07 12:47 PM
in reply to: #1795518

Pro
4277
20002000100100252525
Parker, CO
Subject: RE: What are the top 4 things you would change if you could in our country?
JoshR - 2008-11-07 11:16 AM
Wolff27 - 2008-11-06 2:10 PM
rayd - 2008-11-06 12:41 PM

2. Regulate Health Care Providers and drug companies...as Ace mentioned, marketing should not be necessary for the drug companies.  Trust your doctor to find you the best perscription...don't let a TV commercial influence you to get on a new drug.

 

WOW - talk about socialism. A private company that has spent MILLIONS coming up with a new drug cannot market it? There are often 2 or more companies that have competing drugs, even if you don't want TV ads they still need to market this to the doctors & hospitals. Only 1 out of 100+ drugs ever make it to market. If it was left up to only the government we would have no where near the successful remedies that we do now. Also - low cost healthcare - someone has to pay for it. Or are nurses, doctors, hospital staff all going to work at huge paycuts?

 

Out of curiosity who are they advertising to? If I'm suggesting drugs I should take to my doctor, I want a new doctor that knows what's going on. I believe that a lot of this advertising is what is causing so many people to take drugs for all of their problems.

I would not be against marketing to the doctors making decisions for patients.  But really, if the drug is good and does what is should be doing...why advertise on TV?  IMO, this country is too quick to try to fix things with drugs rather than change an unhealthy lifestyle.  TV advertising only encourages unnecessary prescriptions.  And sorry, I wasn't clear on regulation of healthcare providers.  I'm not so much concerned about the doctors and professionals that are taking care of people, I am more concerned about how the  health insurance companies/providers are effecting the healthcare industry.  That's where I would like to see some controls!

2008-11-07 12:52 PM
in reply to: #1794661

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2008-11-07 12:55 PM
in reply to: #1791836

Subject: ...
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2008-11-07 1:54 PM
in reply to: #1795651

Expert
1014
1000
Virginia
Subject: RE: What are the top 4 things you would change if you could in our country?

PennState - 2008-11-07 1:55 PM Oh and another point.... for those who are against pharmaceutical ads on TV, I'm assuming that you would suggest a ban of all beer ads on TV as well right? Certainly alcohol is more dangerous to the population than pharma ads? no?

I'd like to ban commercials in general and demand that the TV shows be a full hour or 30 minutes or whatever.  And I'd ban sneak attack commercials like at least 60 minutes of Biggest Loser... 

2008-11-07 2:00 PM
in reply to: #1791836

Subject: ...
This user's post has been ignored.
2008-11-07 5:17 PM
in reply to: #1795651

Elite
4564
200020005002525
Boise
Subject: RE: What are the top 4 things you would change if you could in our country?

PennState - 2008-11-07 12:55 PM Oh and another point.... for those who are against pharmaceutical ads on TV, I'm assuming that you would suggest a ban of all beer ads on TV as well right? Certainly alcohol is more dangerous to the population than pharma ads? no?

 

I'm not advocating banning drug ads because they are dangerous. I'm saying that if my doctor doesn't know about some drug and I'm telling them I should take, then why am I even bothering with a doctor?

2008-11-08 11:11 AM
in reply to: #1792015

Elite
3972
200010005001001001001002525
Reno
Subject: RE: What are the top 4 things you would change if you could in our country?

scoobysdad - 2008-11-06 10:57 AM  2. Require sort of national ID for every person. It would be required to vote, get a job, apply to college and perhaps other purposes. 

This is an interesting item to make your top 4 - can you tell us why?

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