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	<title>My Blog, My Thoughts &#187; politics</title>
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	<link>http://onyeije.net/blog</link>
	<description>Brought to you by Chukwuma Onyeije, MD</description>
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		<title>NYT: New Objections to Baucus Healt</title>
		<link>http://onyeije.net/blog/2009/09/15/nyt-new-objections-to-baucus-healt/</link>
		<comments>http://onyeije.net/blog/2009/09/15/nyt-new-objections-to-baucus-healt/#comments</comments>
		<pubDate>Tue, 15 Sep 2009 11:52:21 +0000</pubDate>
		<dc:creator>Chukwuma</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[health care]]></category>
		<category><![CDATA[legislation]]></category>
		<category><![CDATA[politics]]></category>
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		<guid isPermaLink="false">http://onyeije.net/blog/?p=206</guid>
		<description><![CDATA[http://mobile.nytimes.com/2009/09/15/health/policy/15health.xml Sent from Onyeije&#8217;s BlackBerry Storm]]></description>
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<p>Sent from Onyeije&#8217;s BlackBerry Storm</p>
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		<title>John McCain&#8217;s Solution for Healthcare?</title>
		<link>http://onyeije.net/blog/2008/08/31/john-mccains-solution-for-healthcare/</link>
		<comments>http://onyeije.net/blog/2008/08/31/john-mccains-solution-for-healthcare/#comments</comments>
		<pubDate>Sun, 31 Aug 2008 22:08:44 +0000</pubDate>
		<dc:creator>Chukwuma</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
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		<guid isPermaLink="false">http://onyeije.net/blog/?p=156</guid>
		<description><![CDATA[When I first read this I thought it was a joke. I am still in a state of shock that a health care advisor for Republican candidate John McCain would actually say it. But here it is, from McCain Healthcare advisor John Goodman as quoted in the Dallas News: &#8220;&#8230;the numbers are misleading, &#8230; anyone [...]]]></description>
			<content:encoded><![CDATA[<p>When I first read this I thought it was a joke. I am still in a state of shock that a health care advisor for Republican candidate John McCain would actually say it.</p>
<p>But here it is, from McCain Healthcare advisor <a href="http://www.ncpa.org/abo/staff/jcgoodman.html">John Goodman</a> as quoted in the <a href="http://www.dallasnews.com/sharedcontent/dws/bus/stories/DN-Uninsured_27bus.ART.State.Edition2.4dce428.html">Dallas News</a>:</p>
<blockquote><p>&#8220;&#8230;the numbers are misleading, &#8230; anyone with access to an emergency room effectively has insurance, albeit the government acts as the payer of last resort.&#8221;</p>
<p>&#8220;So I have a solution. And it will cost not one thin dime,&#8221; Mr. Goodman said. &#8220;The next president of the United States should sign an executive order requiring the Census Bureau to cease and desist from describing any American – even illegal aliens – as uninsured. Instead, the bureau should categorize people according to the likely source of payment should they need care.</p>
<p>&#8220;So, there you have it. Voila! Problem solved.&#8221;</p></blockquote>
<p>WHAT ON EARTH IS THIS MAN TALKING ABOUT?</p>
<p>Mr. Goodman is the President and CEO for the National Center for Policy Analysis.</p>
<p>Mr Goodman.  Emergency room health care for the indigent and uninsured IS NOT the same thing as a Government sponsored health insurance.  Any novice in public health and government policy should see that.</p>
<ol>
<li>People without insurance are less likely to seek care</li>
<li>Care that is obtained late (as an emergency) is more expensive and prone to less than optimal outcomes. </li>
<li>Physicians providing this care in the emergency room are NOT compensated in the same manner as if they were providing care to  insured patients.</li>
<li>Emergency room care is not capable of providing ongoing chronic care, short term follow-up or subspecialty services.  You cannot give prenatal care or chemotherapy in the emergency room.</li>
</ol>
<p>Amazing.</p>
<p>You would think that he would know better.</p>
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