Medicaid should have their own clinics. Education has become much too
expensive. It is on a bubble that will break. Online education is the wave of
the future. If you can get a calculus course online for less than $100 why pay
$5,000 at a university. When prices went up over a few years 100% education
went up 400%. All due to student grants and subsidies.
Universities are in the midst of status wars. Those in status wars have no
definition for "enough". Sponsored research is 87% dependent upon
government grants. So universities are massively dependent on public funds
because they are not showing restraint.Medicare is a ponzi scheme.
But math will prevail. We can either manage things, or suffer the effects of
not doing so.
This is still a false comaprison. You may as well say that the state highway
budget and education are colliding. Why not the money we spend on
cheese and medicaid are colliding?Meicaid is a separate fund with a
completely purposed deduction from our paychecks. Keep your grubby hands off it.
Higher education has grown into a self-perpetuating scam that needs to be
brought under control. Nearly all high school grads are now encouraged/pushed
into pursuing a "degree" even though a high percentage are doomed to
fail. They take out loans that burden them for the rest of their lives. Even
with a "degree" these days, many are still unable to find a job that
will pay the loans. Employers play along by only hiring those with
"degrees" regardless how much experience or natural talent can be
shown. This country was the strongest when the skilled trades were vibrant and
we produced our own goods. Now everyone wants a "white collar" job and
no one wants to get their hands dirty. College should be reserved for those that
need and will truly benefit from it and those that won't benefit should be able
to find their place in a PRODUCTIVE society, without need for "a piece of
There are 29,000 students at UNLV. Raise tuition by $2000 and you raise
58,000,000 dollars. One report showed current tuition and fees around $5500.
Therefore, new rate is $7500. Univ of Colorado rate was about $8,500. Univ of
Utah was about $6,300. USU was about $5,200 and UVU was about $4,300. This
instate only rates. Probably should raise Utah rates much higher. About 76,000
students attend these three Utah Universities. Every $1,000 increase raises
$76,000,000 to pay for their education. We should never compromise the health of
our poorer residents. Maybe ER should do a triage and send them to instacare
when non-emergency cases show up.
Of what worth is a good education if you have not the health to enjoy it?
As a physician who practices emergency medicine and works in an office clinic as
well, I would like to comment on the medicaid issue: it is out of control.
Frequently when I am on call for the ER and still having office hours, someone
will come into our small ER, who is on medicaid, and demand to be seen for a
minor ailment. They treat the ER as their own personal instacare. If someone is
sick I will always see them in my office. These people never call the office,
they just show up at the ER. These are the same people who bring themselves and
their children to the ER at all hours of the night because it is convenient, not
because it is a necessity. Nothing in life should be free. These people have
cell phones, smoke cigarettes, have car payments. At least they could pay the
equivalent of a weeks' supply of cigarettes to be seen in the ER.
To "Radical Moderate | 10:21 p.m." go and dig deeper.FYI,
tort reform has proven to cut the cost of malpractice insurance. This is a
significant cost for doctors involved in high risk specialities, such as
surgeons, OB/GYNs, ER doctors, and other high risk specialties. Malpractice can
range from $70,000/yr to $500,000/yr, depending on what the doctor does.Allowing companies to sell across state borders essentially creates
larger insurance pools. This is one feature that the Federal Government wants
for their own program. It lowers the cost by allowing companies to create
larger pools.There are other proposals, keep digging, and see what
you can find.
President Young has articulated the need for investment in higher education. At
a very fundamental level, Medicaid is also an investment in our state's future.
Children make up the majority of the people on Medicaid. 15% of the children in
the state are on Medicaid. These children need the preventative medical and
dental care from Medicaid to make sure they are healthy and ready to learn in
elementary school, junior high, and high school.
Medicaid is not ineficient. Medicaid runs on only 2% of overhead costs. Compare
that to for-profit insurance companies that have 25% overhead costs.There's no comparison. Stop making things up.
RedShirt: The question was "What ideas" have the Republicans
proposed. I know of two -- limit Tort awards (which is a reform of the legal
system, not the healthcare system) and allow insurance companies to operate
across state lines while giving the oversight power to the states (make
insurance companies bigger and have them regulated by 50 different systems
instead of just one). If these are the only two ideas, I fail to see how they
will have much impact. In my opinion, insurance companies seem to be the one
entity that is doing extremely well in the current market. I'm not sure that
making them more powerful is going to help at all. And malpractice costs are
what, about 5 percent of the total. Not a lot there, either. So once again,
This article makes great points about medicare. And it offers much needed
observations about entitlement mentality. Unfortunately, it fails to address
the entitlement mentality among students and college faculty as well. And too
many of the comments here are yet additional examples of entitlement."Tax 'the rich'. They can afford it.""Cut defense,
I don't like, but don't touch my favored programs."Here is
something I'd love to see from everyone who claims some right to dictate how
much I pay in taxes or even how those taxes are spent:Tell us what
YOU paid in taxes.I'm a little slow this year on taxes. But for
2009 here is MY breakdown:Federal income taxes took 11.5% of my
GROSS income.Social Security and Medicaid took another 8% combined (plus
the 8% from my employer I never see).And Utah State income tax was 4.7% of
my gross income.That is nearly 25% of my gross income. Plus
property, sales, gas, and other taxes.That is after I gave some 15%
to charity.Any tax and spend types willing to put up what YOUR tax
(and charitable giving) numbers are?
The real problem is that both health care costs and higher ed costs are wildly
out of control.
TO "NeilT | 9:40 a.m. " you ask where the conservatives are? Guess
what, they have proposed ideas that will actually cut the cost of care.The HC bill that was passed will increase the cost of healthcare in multiple
ways. First, it adds people to insurance rolls without adding doctors. Thus
doctors can charge a premium.Second, it adds mandates to insurance.
Every mandate, no matter how small, adds a cost. How much more expensive do you
think insurance will be once you are able to sign up for insurace the day after
getting diagnosed with Cancer?Third, they increased taxes on medical
device companies. This makes medical equipment more expensive.So,
tell us, how does making insurance and care more expensive help lower the cost?
Three problems have to addressed if we are to have a reasonable cost and quality
education.Too many students are not prepared for college courses.
The acceptance standards have to be raised and students who can not or will not
prepare should not be accepted. This will reduce the remedial programs that
cost more than regular programs.Divide college faulty into teaching
and research status. Teachers are paid for teaching. Researchers have to raise
there own salary through grants. Faculty tenure must be renewed every four
years.Make all state schools part of one system. Each campus would
have a specialty so you can cut redundant programs or just two years then
transfer. Duplicating expensive upper class labs and facilities would reduce
our costs significantly.
This is a false argument. Medicare and SS are funded by separate payroll
deductions for that purpose. Nobody has the right to redirect those funds. But
SS and medicare funds seem to be a big pot of gold the republicans want to bust
into.There are no payroll deductions for education. They are funded
by property taxes and those funds should not ever fund medicare.
For better than 20 years the price of higher education has outpaced the rate of
inflation. There's a number of reasons why, some of which may be
more or less true at UVU:1). Research is super expensive.2).
Much of the professoriate doesn't teach very many hours.3). There's more
administrative personnel per student now than ever.4). Cheap money in the
form of student loans has students chasing education with their dollars. 5). Potentially cheaper alternatives like online only education or for-profit
institutions remain outside the mainstream and unrespected. (I say potentially
cheaper because we all know how expensive colleges like the University of
Phoenix are).6). College campuses are more luxe than they were 50 years
ago and offer students more non-education-related amenities. President Holland needs to look hard inwardly and ask, how can we educate
students less expensively before he starts eying other government programs like
I would like to hear Mr. Holland's opinion on the costs of the Iraq war. And if
he had to choose between war and fixing health care, I would like to know which
one he would choose. With his love of the country of Israel, I think I know
which one he would choose, but I would like him to come right out and say it
In a letter from Samuel Adams to John Adams (written 1790) the following
comments were made: Such an age may afford at least a flattering expectation
that nations, as well as individuals, will view the utility of universal
education in so strong a light as to induce sufficient national patronage and
support. will draw together the sons of the rich and poor, among whom it makes
no distinction. Education inures men to thinking and reflection, to reasoning
and demonstration. It discovers to them the moral and religious duties they owe
to God, their country and to all mankind.Surely, Utah of all states, will
not support an education system where the people began to be distinguished by
ranks, according to their riches and their chances for learning; yea, some were
ignorant because of their poverty, and others did receive great learning
because of their riches.
@ NeilTSpot on. Want to talk about entitlement. Americans, ALL
Americans feel 'entitled' to receive medical care because we live in a country
with good medical resources. When you get a new job that you worked hard to get
don't you feel 'entitled' to finally receive those benefits that typically come
with that level of work? What if it wasn't there? What if employers didn't
provide that resource and you had to fend for yourself. Would you just shrug it
off and say "well I guess I didn't get it and that's just life." No,
you'd fight for a way to have access to it. What we are seeing is
not necessarily entitlement. It's people fighting for their health and their
lives. Now the way the government is handling it right now may not be ideal, but
it's not the peoples fault. It is the options that are available.
How can we continue to give billions in foreign aid and trillions in wars while
policing the whole world and cut domestic programs which benefit our own
people?Let Asia and Europe defend themselves!Get us out
of Iraq and Afghanistan. Eliminate the tax cuts for the wealthiest
1%, they don't need them. Cut the subsidizes for oil companies (who are making
record profits).Problem solved.
Invisible hand.Medicaid recipients usually have to go to emergency rooms
because doctors won't see them. A $50.00 charge becomes a $5,000 expense to tax
Before considering a cut to domestic programs, cut foreign aid.
Medicaid as it is currently run is wildly inefficient. The reason it is so
expensive is the beneficiaries have every incentive to go see the doctor for any
minor ailment. Introduce even a small copay and we would see the cost of
Medicaid drop significantly.
Once again the core issued is ignored. Health care costs are the problem. A
close personal friend is fighting cancer similiar to Atty Gen. Shurtleff. A
once a month shot costs $5,000.00. My friend is a Ph.D. with a good income.
He is worried what would happen if he lost his health insurance. Many are
worried about hyper-inflation. We already have it in the health care industry.
Why conservatives are so unwilling to address the health care crisis is mind
boggling. I for one am sick of living in a country where people have to beg for
charity health care because a loved one needs an operation or medical care that
insurance won't cover or they are uninsured due to unemployment or a
pre-existing condition. There are people in Canada who refuse to visit the U.S.
out of fear. Fear that an accident here or emergency medical care would leave
them bankrupt. The real entitlement problem is the medical profession and out
of control costs.
Well, that's what you expect from someone feeding at the public trough: Don't
cut my paycheck -- cut somebody's life saving treatments instead!
At first pop it seems somewhat arbitrary to select two government programs and
have them square off. One could select a number of different government
measures to compare to higher eduction. Dr. Holland gets no opposition from me
in his enthusiasm for higher ed. But in the current climate if one substitutes
education funding at the expense of medicaid, the opportunity cost incurred
amounts to many human lives. This hardly seems reasonable.As to the
presumed culture of entitlement, this is more a culture of survival or the
attempt to survive in a treacherous environment. If Dr. Holland cares about
higher ed AND health care he should support a single payer health system of some
kind with teeth to contain costs and fairly distribute health services.
Contrary to what Holland thinks, most people do not want government taking care
of them - what they want is health care they can afford so they can get on
making a contribution to their society.
Is Medicaid the problem or is the cost of health care? As smart as we are, we
cannot think our way out of outrageous hospital bills. Eight years
ago I had five stitches given at the emergency room (it was after the Instacare
had CLOSED for the night). The cost: $1,000. That was eight years ago. I
could only imagine what that would cost now. Unless we reign in ludicrous
medical costs, we will either have to spend more money on health care or the
majority of the population can expect to have an average life expectancy of
about 50 years. The best way to control medicaid is to find out why medical
costs are increasing at a pace of 3 to 5 times the rate of inflation and think
I do not understand why Medicaid is called an entitlement. It is welfare plain
I really appreciate President Holland's comments and agree. I would also suggest
that Higher Education in general look into the mirror. The costs of education in
America has outstripped inflation by roughly double, every year for a few
decades now. While inflation has remained steady 2-3% the cost of higher
education has remained steady at 8% or more. I have videos, etc of
higher education after World War Two. Such growth in student population with the
demans of the Greatest Generation, Universities set up classes in military,
metal shacks. In fact, as of a few years ago BYU still had one near the
Wilkinson Center. It is an example of Higher Education getting it done. Now, we
are entrenched in a linear thought process about delivery.To bring
both worlds together (spiraling costs and need of 66% graduation needs) Higher
Education needs to dramatically change their delivery. Virtual education needs
to become the norm; Associate Degrees need to be more focused, almost a modern
certificate of skills, etc.Lead on, you are halfway there!
Whose money is it? All of the ills of our current global society are blamed on
the shortage of money. The fact is that there is plenty to spare.Consider the
words of Thomas Paine.Civilization, therefore, or that which is so called,
has operated two ways: to make one part of society more affluent, and the other
more wretched, than would have been the lot of either in a natural state. Separate an individual from society, and give him an island or a continent to
possess, and he cannot acquire personal property. He cannot be rich. So
inseparably are the means connected with the end, in all cases, that where the
former do not exist the latter cannot be obtained. All accumulation, therefore,
of personal property, beyond what a mans own hands produce, is derived to him
by living in society; and he owes on every principle of justice, of gratitude,
and of civilization, a part of that accumulation back again to society from
whence the whole came. Its the distribution of wealth that is the problem.
The Utah braggards are out again, bragging about how well they can manipulate
the economy figures to make us look superior. Utah legislators haven't been able
to accept the fact that federal funds are drying up, pork funds are minimal and
more controlled, Medicaid and education funding is a burden rather with no tax
revenue to support it. And the slave labor jobs is Utah cannot support tax
dependent government, education, or health care.The truth is that
Utah legislators still have their heads buried in the sand and refuse to accept
how critically corrupt and disheveled the economy of Utah is. Utah legislators
are adept at manipulating numbers to falsify information and to use that
falsified information to plan a budget. A very critical mistake for the future
of this state. We need a reality government, one that isn't mentally and vision