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Re: What's wrong with "national health care"?

From Martin Brown <'''newspam'''@nezumi.demon.co.uk>
Newsgroups sci.electronics.design
Subject Re: What's wrong with "national health care"?
Date 2017-05-23 10:21 +0100
Organization Aioe.org NNTP Server
Message-ID <og0uts$1j0g$1@gioia.aioe.org> (permalink)
References (3 earlier) <offjpt$j6f$1@dont-email.me> <ofmije$c75$1@gioia.aioe.org> <ofniet$5vo$1@dont-email.me> <oforlu$5rn$1@gioia.aioe.org> <ofqhep$uo7$1@dont-email.me>

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On 20/05/2017 23:58, Don Y wrote:
> On 5/20/2017 12:36 AM, Martin Brown wrote:
>> On 19/05/2017 20:56, Don Y wrote:

>>> HepC can be cured (in most patients) with Sovaldi.  But, its an
>>> expensive
>>> treatment (in the US) -- as an alternative to an eventual liver
>>> transplant.
>>> Amazingly, the treatment cost is only high in the USA:
>>> <http://www.chicagotribune.com/business/ct-drug-price-sofosbuvir-sovaldi-india-us-20160104-story.html>
>>>
>>
>> No wonder if the drugs companies can charge what they like!
>
> To be fair, they are charging what they feel they can get away with!

ie what the market will stand and like Nike and Addidas they have 
suckers in American queueing up for the branded product and ignoring 
equally good generic alternatives.
>
> Companies worry about the dollars on their bottom line; not their "moral
> constraints".  The days of the Salks are long past.

Perhaps the capitalism has lost its way and we are back in a devil take 
the hindmost kill or be killed culture. The UK still has some businesses 
with an ethical stance on the treatment of their workers.

>> We are having similar bother with a few unusual off patent drugs and
>> US style
>> creative accountancy price gouging in the UK market now:
>>
>> https://www.gov.uk/government/news/cma-fines-pfizer-and-flynn-90-million-for-drug-price-hike-to-nhs
>>
>>
>> But we do have a competition authority to kick them in the teeth.
>
> OTOH, they can simply decide "not to play" -- exit YOUR market and engage
> in a publicity campaign to let your patients (voters) know that there IS
> a treatment but that your gummit doesn't want to provide it to them.

That would backfire spectacularly on the company that tried it here.
>
> You can spin an issue any way you want.  Drug developers can claim they've
> taken a risk, made an investment, etc. and SHOULD be rewarded -- else they
> won't bother developing new products.

One really serious problem is developing new antibiotics. The new ones 
will be held in reserve and *NOT* used for as long a possible meaning 
that all the R&D costs and no foreseeable payback for the company. So 
guess what they don't invest much in new antibiotics. We will pay dearly 
for this mistake (and also for pumping them into cattle to make them get 
fatter quicker).
>
> It's hard to try to imagine a set of circumstances that would cause folks
> to "do the right thing" (whatever THAT might be) in the face of
> self-interests
> to the contrary.

There was a time when industrialists and businessmen in the UK had a 
conscience - most but not all of them were Quakers and founded some 
major companies with relatively benign (for the time) conditions of 
employment. Notable among the was Robert Owen:

https://en.wikipedia.org/wiki/Robert_Owen

These days commerce is dominated by spivs and speculators who are out to 
make money and have no ethics or principles beyond selfish greed.

>>>> It is a national government vs local government issue.
>>>
>>> Ah, so *different* governments, not different DEPARTMENTS  (agencies)
>>> in the *same* government.  (Of course, to the tax payer, it's still
>>> The Government)
>>
>> Exactly but they are from different pots of money. The problem is that
>> central
>> government has drastically cut local government funding.
>
> <frown>  I think you just added another issue to complicate my
> understanding.
> The *central* government (the equivalent of our "federal gummit") is the
> source of funds for the *local* gummits?

It is the source of some of the funds for local government. Local in 
this sense is counties about the size of your states and then below them 
another tier of districts and archaic parishes.

> (I'm having a hard time deciding what our equivalent to your "local gummit"
> would be -- a state?  county?  city?  etc.)

UK County ~ US State
UK District ~ US County

A few of the biggest cities also have elected mayors these days with a 
budget at their disposal but this is rare. A man in a monkey suit got 
elected as Mayor of Hartlepool to spite the government (a place which 
once hung a monkey as a French spy because it didn't speak English) - 
though he proved to be quite good at it and served 3 terms.

> Here, funding 9and sources of funding) originate at many different levels
> of The Government (an indirect reference to my earlier claim that they are
> DIFFERENT gummits).
>
> The Federal gummit ("Washington DC") imposes taxes in the form of income
> tax,
> excise taxes (on certain classes of products), fees, etc.  Much of this is
> administered (spent) by the Feds.  Some is passed out to the "States" for
> various purposes.

Same here although the names are different.

> Each State government has additional, independent sources of funds.  Many
> states have income taxes, or, (sales) taxes on certain services/products.
> They administer those funds and/or disburse portions to other
> "sub"governments within the state.

The main local income that the local governments get is the Poll Tax to 
provide local services and other amenities. But they are in practice 
heavily dependent on national government to give them funding.

> I would assume your "local gummits" have some sort of "local" revenue
> source?
> Or, are you saying they are (largely) funded from above?

The latter. They have some but it is a drop in the ocean compared with 
the things they are tasked with providing. The national component of 
local government funding is roughly 2/3 of their budget. There is no 
equivalent of US local sales taxes.

>>>> Not surprisingly there are territorial turf wars at each of these
>>>> boundaries
>>>> with creative bean counters playing "pass the parcel".
>>>
>>> <frown>  I guess I can't understand the (apparently common!) "need for a
>>> bed".
>>
>> Because people are living much longer and ultimately end up frail and
>> disabled
>> or demented - therefore not safe to go home.
>
> But people are living much longer here, as well.  It is rare for someone to
> be DISALLOWED to return to their home (house, apartment).  And, I can't
> think of anyone opting to pay for them to "reside" in a hospital setting.
>
> (I.e., why don't your hospitals *pay* for the CHEAPER beds in those other
> facilities as a means of cutting THEIR costs of warehousing those folks?)

Because there are no beds in suitable nursing homes available to buy! 
The private sector nursing homes are run with 100% occupancy rates and 
no spare capacity to obtain maximum ROI. There was a time when the state 
did run some nursing homes but they were sold off (and in some cases 
then closed down to create a shortfall and increase prices).

>>> When my care is complete, I would typically be discharged to my *home*;
>>> an inquiry made as to whether or not someone can drive me home, etc.
>>>
>>> In some small number of cases, you might be discharged to a
>>> continuing care
>>> facility (convalescent home, nursing home, etc.).
>>
>> Ageing population so that this is invariably the dominant pathway.
>
> Yes, but *our* population is also aging.  Are *your* demographics
> that different from ours?
>
> I see a 0.8% figure for >= 90 UK but can't quickly find a
> corresponding one for the US (0.44% @ 85+ = 4M souls).
> Returning to the 90+ source and adding in the 80-89 figure
> suggests 2.3% (1.4M souls)
>
> [NB: data sources differ; UK not, just England]
>
> Wow!  What a bunch of old geysers!  ;)  That might explain the need for
> places to warehouse folks.  OTOH, its a screwy statistic as out population
> is 10 times yours and the over 85 crowd is 3 times yours (instead of 10X)
> in terms of body count.

But as a proportion of the working age population it is much higher - 
though not as high as it is in Japan.

>> The NHS treats people according to their medical needs and by
>> averaging the
>> risk over the entire population can treat everyone and not just a
>> favoured few
>> who can afford extortionately priced private insurance.
>
> But "ability to pay" doesn't correlate with "health" -- just the amount
> of care of which you can avail yourself.  Likewise, *price* of care doesn't
> correlate with quality of life, etc.

> (There was a concerted effort to convince folks of the equivalent efficacy
> of ethical drugs, regardless of source.  Folks initially considered
> "generic"
> drugs as somewhat inferior to the innovator's variant)

In the UK most people are unaware of the brand names of such drugs so 
the problem of wanting medical pill versions of RoundUp(TM) instead of 
generic glyphosate simply do not arise. UK citizens are much less 
brandname pill popping hypochondriacs than our US cousins.

>>> ISTM that the only way to get those costs under control is to limit the
>>> *need* for them.  I.e., have a healthier population.  But, perversely,
>>> that tends to require MORE services (at least in the short term) to
>>> "top off" the health of the population.  Passing "some" of the cost on
>>> to the patient is demonstrably NOT an effective way to alter behavior!
>>
>> A healthier population is still a problem. The only thing certain in
>> life is
>> death and taxes. Eventually even if you are fit and healthy you will
>> fall and
>> break a bone or some internal organ will fail.
>
> Of course.  But, expectations can change based on typical longevity.
> I doubt many folks (today) would complain if they took a fall at 115
> and died in short order, thereafter -- having been healthy up to that
> point.  OTOH, there re audible gasps when someone in their 50's dies.
> Esp if a result of something that could have been "treated" or
> "managed" -- medically or with lifestyle changes.
>
> The problem we face (US) is chronic illnesses that affect quality
> of life AND cost of care.  And, because we've found treatments that
> can allow people to live WITH these problems for long periods of time,
> the costs soar.

Well you will have supersize portions and junk food on tap everywhere.

>>> [I wonder what it would be like if you told smokers (e.g.) "We WON'T
>>> cover
>>> any of the following ailments associated with smoking".  Or, the obese
>>> (e.g.) "We WON'T cover any of the following ailments associated with
>>> obesity".
>>> I suspect even that wouldn't be enough to verifiably alter behaviors]
>>
>> Rationing access to surgery for those with BMI>30 is one such policy
>> but it is
>> controversial (and pretty stupid if the surgery is to apply a stomach
>> band as
>> treatment for being overweight!).
>
> But, people complain that they are being unfairly discriminated against!
> Tell someone he has to buy *two* airline seats and he'll fly another
> carrier.

If the carriers all do it then they will have no choice.

> His "freedom" to hang over into the seat adjoining has been impacted.
> Tell him he can't have a particular medical procedure and he'll be
> calling the
> local newspapers to complain.
>
> When there are lots of people like (or similar) to him in society at large,
> what do you do?  He's got "sympathy":  "How do I know that they won't deny
> *me* that care -- I know I'm 'a few pounds' overweight...?"
>
> That's why its so much easier to pick on drug addicts (treatments for
> overdoses), homosexuals (AIDS/HIV), etc. -- people "lacking in some moral
> capacity" (surely over-eating isn't such a failing??)

We haven't reached the point in the UK where being considerably 
overweight is normal.

>>> Or, to alter the *expectations* people have of them ("You have cancer.
>>> Start making your final arrangements...")
>>
>> Plenty of cancers are survivable these days if caught early enough.
>
> But if access to health care is gated (by policy, price, etc.) then
> how do you "catch it"... early?

Screening the more common ones and hope that doctors recognise the 
symptoms and refer their patients for tests. Otherwise fit men are a bit 
of a problem in this respect as they present with symptoms too late.
>
>>> I just don't see how changing the payment (*or* provisioning) aspect
>>> will
>>> do anything to change the trajectory of healthcare costs.
>>
>> The trajectory will always be upwards (unless we completely ruin the
>> power of
>> antibiotics to knock down infections). We can cure more things now and
>> keep
>> people alive who would not have survived in the past.
>
> Exactly.  And, people *expect* it.  "Don't you have a PILL for that?"
> They think that whatever the malady, regardless of their role in its
> genesis, there WILL be a magic bullet.  And, that magic bullet WILL allow
> them to continue life as usual.
>
> A neighbor is diabetic.  Both are significantly obese.  The canister set
> that adorns their kitchen counter is filled with midget candy bars (milky
> way, snickers, etc.).  Really???  You CAN'T LIVE WITHOUT THOSE??  Yet
> the spare bedroom full of exercise equipment is covered in a thick layer
> of dust...

Sigh. You can't prevent people doing stupid things. Over here most (but 
sadly not all) diabetics are pretty careful about what they eat.

-- 
Regards,
Martin Brown

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Thread

What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-13 15:10 -0700
  Re: What's wrong with "national health care"? Cursitor Doom <curd@notformail.com> - 2017-05-13 22:54 +0000
    Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-13 15:59 -0700
      Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-14 00:34 +0100
        Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-13 17:11 -0700
          Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-14 08:49 +0100
            Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-14 02:00 -0700
              Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-14 10:14 +0100
                Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-14 08:31 -0700
          Re: What's wrong with "national health care"? Martin Brown <'''newspam'''@nezumi.demon.co.uk> - 2017-05-14 15:56 +0100
            Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-14 09:04 -0700
              Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-14 18:02 +0100
                Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-14 16:10 -0700
                Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-15 01:12 +0100
                Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-16 10:57 -0700
                Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-18 10:42 -0700
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-18 14:10 -0400
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-17 10:19 -0400
                Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-17 15:48 +0100
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-17 13:19 -0400
                Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-17 18:47 +0100
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-17 15:40 -0400
                Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-18 00:03 +0100
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-17 19:39 -0400
                Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-18 08:09 +0100
                Re: What's wrong with "national health care"? John Devereux <john@devereux.me.uk> - 2017-05-18 09:13 +0100
                Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-18 09:37 +0100
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-18 04:57 -0400
                Re: What's wrong with "national health care"? Martin Brown <'''newspam'''@nezumi.demon.co.uk> - 2017-05-19 09:58 +0100
                Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-05-17 08:21 -0700
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-17 13:28 -0400
                Re: What's wrong with "national health care"? Martin Brown <'''newspam'''@nezumi.demon.co.uk> - 2017-05-19 09:13 +0100
                Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-19 10:14 +0100
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-19 13:31 -0400
                Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-19 19:17 +0100
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-19 17:47 -0400
                Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-19 23:45 +0100
                Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-05-19 19:57 -0700
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-19 23:35 -0400
                Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-20 07:42 +0100
                Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-05-20 00:48 -0700
                Re: What's wrong with "national health care"? Martin Brown <'''newspam'''@nezumi.demon.co.uk> - 2017-05-23 09:24 +0100
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-23 12:19 -0400
                Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-23 17:44 +0100
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-23 16:49 -0400
                Re: What's wrong with "national health care"? Clifford Heath <no.spam@please.net> - 2017-05-24 08:29 +1000
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-23 19:26 -0400
                Re: What's wrong with "national health care"? Clifford Heath <no.spam@please.net> - 2017-05-24 11:32 +1000
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-24 01:16 -0400
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-24 18:04 -0400
                Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-24 07:40 +0100
                Re: What's wrong with "national health care"? Jasen Betts <jasen@xnet.co.nz> - 2017-05-31 11:57 +0000
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-31 09:05 -0400
                Re: What's wrong with "national health care"? Jasen Betts <jasen@xnet.co.nz> - 2017-06-20 05:12 +0000
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-23 21:07 -0400
                Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-05-23 19:04 -0700
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-23 18:46 -0400
                Re: What's wrong with "national health care"? David Brown <david.brown@hesbynett.no> - 2017-05-24 12:56 +0200
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-24 12:37 -0400
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-24 18:12 -0400
                Re: What's wrong with "national health care"? Lasse Langwadt Christensen <langwadt@fonz.dk> - 2017-05-24 16:11 -0700
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-24 19:49 -0400
                Re: What's wrong with "national health care"? David Brown <david.brown@hesbynett.no> - 2017-05-26 15:41 +0200
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-23 18:44 -0400
              Re: What's wrong with "national health care"? Martin Brown <'''newspam'''@nezumi.demon.co.uk> - 2017-05-14 18:18 +0100
                Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-14 18:54 +0100
                Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-14 23:00 -0700
                Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-15 15:32 +0100
                Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-15 15:01 -0700
                Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-16 00:52 +0100
                Re: What's wrong with "national health care"? kevin93 <kevin@whitedigs.com> - 2017-05-15 19:17 -0700
                Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-05-15 19:26 -0700
                Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-16 12:01 -0700
                Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-16 21:12 +0100
                Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-16 13:51 -0700
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-16 20:26 -0400
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-17 15:50 -0400
                Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-14 13:27 -0700
                Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-14 22:00 +0100
                Re: What's wrong with "national health care"? kevin93 <kevin@whitedigs.com> - 2017-05-14 18:39 -0700
    Re: What's wrong with "national health care"? Lasse Langwadt Christensen <langwadt@fonz.dk> - 2017-05-13 16:20 -0700
      Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-13 17:05 -0700
        Re: What's wrong with "national health care"? Lasse Langwadt Christensen <langwadt@fonz.dk> - 2017-05-13 17:49 -0700
          Re: What's wrong with "national health care"? John Larkin <jjlarkin@highlandtechnology.com> - 2017-05-13 18:02 -0700
            Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-13 21:25 -0400
            Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-13 21:28 -0400
              Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-05-13 19:39 -0700
            Re: What's wrong with "national health care"? tabbypurr@gmail.com - 2017-05-15 13:05 -0700
              Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-15 20:37 -0400
                Re: What's wrong with "national health care"? tabbypurr@gmail.com - 2017-05-15 18:19 -0700
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-15 21:53 -0400
                Re: What's wrong with "national health care"? tabbypurr@gmail.com - 2017-05-16 09:18 -0700
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-16 12:51 -0400
                Re: What's wrong with "national health care"? bitrex <bitrex@de.lete.earthlink.net> - 2017-05-20 11:54 -0400
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-20 12:05 -0400
                Re: What's wrong with "national health care"? bitrex <bitrex@de.lete.earthlink.net> - 2017-05-22 08:58 -0400
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-22 11:58 -0400
                Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-05-15 19:29 -0700
          Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-13 18:06 -0700
            Re: What's wrong with "national health care"? Lasse Langwadt Christensen <langwadt@fonz.dk> - 2017-05-13 18:38 -0700
              Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-13 18:44 -0700
      Re: What's wrong with "national health care"? "dcaster@krl.org" <dcaster@krl.org> - 2017-05-13 17:35 -0700
        Re: What's wrong with "national health care"? Lasse Langwadt Christensen <langwadt@fonz.dk> - 2017-05-13 17:56 -0700
          Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-13 21:00 -0400
            Re: What's wrong with "national health care"? Lasse Langwadt Christensen <langwadt@fonz.dk> - 2017-05-13 18:11 -0700
              Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-13 21:29 -0400
                Re: What's wrong with "national health care"? Lasse Langwadt Christensen <langwadt@fonz.dk> - 2017-05-13 18:47 -0700
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-13 22:37 -0400
                Re: What's wrong with "national health care"? Lasse Langwadt Christensen <langwadt@fonz.dk> - 2017-05-13 19:56 -0700
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-14 00:08 -0400
                Re: What's wrong with "national health care"? Lasse Langwadt Christensen <langwadt@fonz.dk> - 2017-05-13 21:20 -0700
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-14 18:02 -0400
          Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-13 18:16 -0700
        Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-13 18:02 -0700
          Re: What's wrong with "national health care"? Martin Brown <'''newspam'''@nezumi.demon.co.uk> - 2017-05-14 15:58 +0100
            Re: What's wrong with "national health care"? Lasse Langwadt Christensen <langwadt@fonz.dk> - 2017-05-14 09:19 -0700
              Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-14 13:29 -0700
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-17 18:40 -0400
              Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-14 18:04 -0400
            Re: What's wrong with "national health care"? George Herold <gherold@teachspin.com> - 2017-05-14 11:12 -0700
            Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-14 12:23 -0700
        Re: What's wrong with "national health care"? George Herold <gherold@teachspin.com> - 2017-05-14 10:55 -0700
          Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-14 13:32 -0700
      Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-13 20:44 -0400
      Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-13 21:03 -0400
    Re: What's wrong with "national health care"? bitrex <bitrex@de.lete.earthlink.net> - 2017-05-13 20:17 -0400
    Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-13 20:57 -0400
      Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-14 08:55 +0100
        Re: What's wrong with "national health care"? bitrex <bitrex@de.lete.earthlink.net> - 2017-05-14 08:11 -0400
          Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-14 14:25 +0100
        Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-14 23:54 -0400
          Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-15 09:09 +0100
            Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-17 18:43 -0400
              Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-18 00:05 +0100
    Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-05-13 19:30 -0700
  Re: What's wrong with "national health care"? John Robertson <spam@flippers.com> - 2017-05-13 16:32 -0700
    Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-13 17:00 -0700
  Re: What's wrong with "national health care"? tabbypurr@gmail.com - 2017-05-13 16:39 -0700
    Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-13 17:18 -0700
      Re: What's wrong with "national health care"? tabbypurr@gmail.com - 2017-05-13 17:31 -0700
        Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-13 17:36 -0700
          Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-13 20:58 -0400
          Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-13 21:40 -0400
          Re: What's wrong with "national health care"? tabbypurr@gmail.com - 2017-05-15 12:58 -0700
        Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-13 21:35 -0400
          Re: What's wrong with "national health care"? tabbypurr@gmail.com - 2017-05-15 13:17 -0700
            Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-05-15 19:04 -0700
              Re: What's wrong with "national health care"? tabbypurr@gmail.com - 2017-05-16 09:27 -0700
                Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-05-16 19:49 -0700
    Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-13 21:27 -0400
      Re: What's wrong with "national health care"? tabbypurr@gmail.com - 2017-05-15 13:13 -0700
        Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-05-15 18:53 -0700
          Re: What's wrong with "national health care"? tabbypurr@gmail.com - 2017-05-16 09:16 -0700
            Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-05-16 19:43 -0700
              Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-17 18:52 -0400
                Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-05-17 18:23 -0700
                Re: What's wrong with "national health care"? Martin Brown <'''newspam'''@nezumi.demon.co.uk> - 2017-05-19 09:59 +0100
        Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-17 18:47 -0400
  Re: What's wrong with "national health care"? Martin Riddle <martin_ridd@verizon.net> - 2017-05-13 20:06 -0400
    Re: What's wrong with "national health care"? mrdarrett@gmail.com - 2017-05-17 12:53 -0700
  Re: What's wrong with "national health care"? Clifford Heath <clifford.heath@gmail.com> - 2017-05-14 13:33 +1000
    Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-13 23:53 -0400
      Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-14 00:11 -0400
      Re: What's wrong with "national health care"? tabbypurr@gmail.com - 2017-05-15 13:24 -0700
        Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-15 20:39 -0400
        Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-05-15 19:16 -0700
          Re: What's wrong with "national health care"? tabbypurr@gmail.com - 2017-05-16 09:29 -0700
            Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-17 18:58 -0400
    Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-05-13 21:04 -0700
    Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-14 00:10 -0400
      Re: What's wrong with "national health care"? Clifford Heath <clifford.heath@gmail.com> - 2017-05-14 14:29 +1000
        Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-14 00:48 -0400
        Re: What's wrong with "national health care"? Phil Allison <pallison49@gmail.com> - 2017-05-14 00:13 -0700
        Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-14 18:10 -0400
          Re: What's wrong with "national health care"? bitrex <bitrex@de.lete.earthlink.net> - 2017-05-18 09:44 -0400
            Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-18 12:34 -0400
        Re: What's wrong with "national health care"? bitrex <bitrex@de.lete.earthlink.net> - 2017-05-18 09:34 -0400
          Re: What's wrong with "national health care"? Lasse Langwadt Christensen <langwadt@fonz.dk> - 2017-05-18 09:03 -0700
            Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-18 12:36 -0400
            Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-18 14:12 -0400
              Re: What's wrong with "national health care"? Lasse Langwadt Christensen <langwadt@fonz.dk> - 2017-05-18 14:36 -0700
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-18 17:43 -0400
                Re: What's wrong with "national health care"? bitrex <bitrex@de.lete.earthlink.net> - 2017-05-18 18:01 -0400
                Re: What's wrong with "national health care"? Lasse Langwadt Christensen <langwadt@fonz.dk> - 2017-05-18 15:18 -0700
                Re: What's wrong with "national health care"? bitrex <bitrex@de.lete.earthlink.net> - 2017-05-18 19:39 -0400
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-18 21:26 -0400
                Re: What's wrong with "national health care"? David Brown <david.brown@hesbynett.no> - 2017-05-19 09:22 +0200
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-19 13:37 -0400
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-19 17:51 -0400
                Re: What's wrong with "national health care"? David Brown <david.brown@hesbynett.no> - 2017-05-22 11:30 +0200
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-22 12:32 -0400
                Re: What's wrong with "national health care"? David Brown <david.brown@hesbynett.no> - 2017-05-23 10:58 +0200
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-23 17:09 -0400
                Re: What's wrong with "national health care"? Lasse Langwadt Christensen <langwadt@fonz.dk> - 2017-05-23 14:30 -0700
                Re: What's wrong with "national health care"? David Brown <david.brown@hesbynett.no> - 2017-05-24 13:30 +0200
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-24 13:01 -0400
                Re: What's wrong with "national health care"? David Brown <david.brown@hesbynett.no> - 2017-05-26 15:43 +0200
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-18 21:13 -0400
          Re: What's wrong with "national health care"? Clifford Heath <no.spam@please.net> - 2017-05-19 07:50 +1000
            Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-18 20:03 -0400
  Re: What's wrong with "national health care"? Phil Allison <pallison49@gmail.com> - 2017-05-13 20:39 -0700
    Re: What's wrong with "national health care"? Rheilly Phoull <rheilly@bigslong.com> - 2017-05-14 12:19 +0800
      Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-05-13 22:08 -0700
        Re: What's wrong with "national health care"? Phil Allison <pallison49@gmail.com> - 2017-05-13 22:20 -0700
          Re: What's wrong with "national health care"? bitrex <bitrex@de.lete.earthlink.net> - 2017-05-18 18:10 -0400
            Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-18 21:31 -0400
  Re: What's wrong with "national health care"? Martin Brown <'''newspam'''@nezumi.demon.co.uk> - 2017-05-14 10:28 +0100
    Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-14 10:53 +0100
      Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-16 12:30 -0700
        Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-17 19:17 -0400
        Re: What's wrong with "national health care"? Martin Brown <'''newspam'''@nezumi.demon.co.uk> - 2017-05-19 11:49 +0100
          Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-19 12:56 -0700
            Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-19 18:05 -0400
            Re: What's wrong with "national health care"? Martin Brown <'''newspam'''@nezumi.demon.co.uk> - 2017-05-20 08:36 +0100
              Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-20 15:58 -0700
                Re: What's wrong with "national health care"? Martin Brown <'''newspam'''@nezumi.demon.co.uk> - 2017-05-23 10:21 +0100
                Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-23 13:26 -0700
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-23 17:41 -0400
                Re: What's wrong with "national health care"? Clifford Heath <no.spam@please.net> - 2017-05-24 08:37 +1000
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-24 00:45 -0400
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-23 18:52 -0400
    Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-15 00:52 -0700
      Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-15 15:16 +0100
        Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-15 08:08 -0700
    Re: What's wrong with "national health care"? tabbypurr@gmail.com - 2017-05-15 13:33 -0700
      Re: What's wrong with "national health care"? Martin Brown <'''newspam'''@nezumi.demon.co.uk> - 2017-05-19 09:50 +0100
    Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-16 01:32 -0400
      Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-16 08:05 +0100
        Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-17 19:19 -0400
  Re: What's wrong with "national health care"? Spehro Pefhany <speffSNIP@interlogDOTyou.knowwhat> - 2017-05-25 08:57 -0400
    Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-25 11:49 -0400
      Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-25 18:04 +0100
        Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-25 13:15 -0400
          Re: What's wrong with "national health care"? Martin Brown <'''newspam'''@nezumi.demon.co.uk> - 2017-05-26 09:15 +0100
            Re: What's wrong with "national health care"? Tom Gardner <spamjunk@blueyonder.co.uk> - 2017-05-26 09:28 +0100
            Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-26 04:40 -0400
            Re: What's wrong with "national health care"? dagmargoodboat@yahoo.com - 2017-05-31 06:19 -0700
              Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-05-31 18:08 -0700
        Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-25 18:30 -0400
    Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-25 13:15 -0700
      Re: What's wrong with "national health care"? Martin Brown <'''newspam'''@nezumi.demon.co.uk> - 2017-05-26 09:54 +0100
        Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-26 12:23 -0700
          Re: What's wrong with "national health care"? Lasse Langwadt Christensen <langwadt@fonz.dk> - 2017-05-26 13:44 -0700
            Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-26 13:47 -0700
              Re: What's wrong with "national health care"? Jasen Betts <jasen@xnet.co.nz> - 2017-06-24 00:18 +0000
              Re: What's wrong with "national health care"? Jasen Betts <jasen@xnet.co.nz> - 2017-06-24 00:24 +0000
                Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-06-24 09:20 -0700
                Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-06-24 12:38 -0400
                Re: What's wrong with "national health care"? Lasse Langwadt Christensen <langwadt@fonz.dk> - 2017-06-24 12:11 -0700
                Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-06-24 13:04 -0700
                Re: What's wrong with "national health care"? Martin Brown <'''newspam'''@nezumi.demon.co.uk> - 2017-06-29 14:20 +0100
                Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-06-29 15:37 -0700
                Re: What's wrong with "national health care"? Martin Brown <'''newspam'''@nezumi.demon.co.uk> - 2017-06-30 11:05 +0100
                Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-06-30 08:13 -0700
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-06-30 12:26 -0400
                Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-06-30 03:43 -0700
            Re: What's wrong with "national health care"? rickman <gnuarm@gmail.com> - 2017-05-26 21:07 -0400
              Re: What's wrong with "national health care"? Lasse Langwadt Christensen <langwadt@fonz.dk> - 2017-05-26 18:59 -0700
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-26 22:17 -0400
                Re: What's wrong with "national health care"? Martin Brown <'''newspam'''@nezumi.demon.co.uk> - 2017-05-27 09:37 +0100
                Re: What's wrong with "national health care"? krw@notreal.com - 2017-05-27 09:30 -0400
                Re: What's wrong with "national health care"? bill.sloman@ieee.org - 2017-05-27 18:23 -0700
      Re: What's wrong with "national health care"? Spehro Pefhany <speffSNIP@interlogDOTyou.knowwhat> - 2017-05-26 08:47 -0400
        Re: What's wrong with "national health care"? Don Y <blockedofcourse@foo.invalid> - 2017-05-26 13:43 -0700

csiph-web