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	<title>Comments on: The Problem with Opt Out Plans</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2009/11/the-problem-with-opt-out-plans/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2009/11/the-problem-with-opt-out-plans/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: Dan Sullivan</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/the-problem-with-opt-out-plans/#comment-15011</link>
		<dc:creator>Dan Sullivan</dc:creator>
		<pubDate>Fri, 20 Nov 2009 04:35:49 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3839#comment-15011</guid>
		<description>Mark, 
You have hit the nail on the head.  Sometime it would be interesting to hear what the health plan of Congress and the Senate will be like.  I bet you it will be much different than what the rest of us are left with.  They always manage to exclude themselves when they come up with all these wonderful solutions to society&#039;s problems.</description>
		<content:encoded><![CDATA[<p>Mark,<br />
You have hit the nail on the head.  Sometime it would be interesting to hear what the health plan of Congress and the Senate will be like.  I bet you it will be much different than what the rest of us are left with.  They always manage to exclude themselves when they come up with all these wonderful solutions to society&#8217;s problems.</p>
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		<title>By: Griffin3</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/the-problem-with-opt-out-plans/#comment-15004</link>
		<dc:creator>Griffin3</dc:creator>
		<pubDate>Thu, 19 Nov 2009 23:26:43 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3839#comment-15004</guid>
		<description>Florida gives us bupkis, unless you are enrolled in the public school, which are just as miserable as you might expect.  Actually ask your school admin, check it, and then post again.  You&#039;ll be sadly enlightened.</description>
		<content:encoded><![CDATA[<p>Florida gives us bupkis, unless you are enrolled in the public school, which are just as miserable as you might expect.  Actually ask your school admin, check it, and then post again.  You&#8217;ll be sadly enlightened.</p>
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		<title>By: Don Salva</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/the-problem-with-opt-out-plans/#comment-15001</link>
		<dc:creator>Don Salva</dc:creator>
		<pubDate>Thu, 19 Nov 2009 18:24:33 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3839#comment-15001</guid>
		<description>No offense, but this is really hard to read with almost no paragraphs existing.</description>
		<content:encoded><![CDATA[<p>No offense, but this is really hard to read with almost no paragraphs existing.</p>
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		<title>By: ladyk73</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/the-problem-with-opt-out-plans/#comment-14948</link>
		<dc:creator>ladyk73</dc:creator>
		<pubDate>Wed, 18 Nov 2009 16:58:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3839#comment-14948</guid>
		<description>Supreme Court Ruling on
Chapter 2 Aid to Parochial Schools
Chapter 2 of the Education Consolidation and Improvement Act of 1981 provides for the allocation of funds for educational materials and equipment, including library materials and computer software and hardware, to public and private elementary and secondary schools to implement &quot;secular, neutral, and nonideological&quot; programs

http://dese.mo.gov/schoollaw/freqaskques/PSA.htm</description>
		<content:encoded><![CDATA[<p>Supreme Court Ruling on<br />
Chapter 2 Aid to Parochial Schools<br />
Chapter 2 of the Education Consolidation and Improvement Act of 1981 provides for the allocation of funds for educational materials and equipment, including library materials and computer software and hardware, to public and private elementary and secondary schools to implement &#8220;secular, neutral, and nonideological&#8221; programs</p>
<p><a href="http://dese.mo.gov/schoollaw/freqaskques/PSA.htm" rel="nofollow">http://dese.mo.gov/schoollaw/freqaskques/PSA.htm</a></p>
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		<title>By: ladyk73</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/the-problem-with-opt-out-plans/#comment-14947</link>
		<dc:creator>ladyk73</dc:creator>
		<pubDate>Wed, 18 Nov 2009 16:24:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3839#comment-14947</guid>
		<description>Not in NYS.....   I gotta get my school board friend to tell me the current rate.   Maybe I am, wrong on the amounts.  Maybe the state gives all pupils 2000 regardless of public or private enrollment...</description>
		<content:encoded><![CDATA[<p>Not in NYS&#8230;..   I gotta get my school board friend to tell me the current rate.   Maybe I am, wrong on the amounts.  Maybe the state gives all pupils 2000 regardless of public or private enrollment&#8230;</p>
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		<title>By: Inthebiz</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/the-problem-with-opt-out-plans/#comment-14945</link>
		<dc:creator>Inthebiz</dc:creator>
		<pubDate>Wed, 18 Nov 2009 16:06:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3839#comment-14945</guid>
		<description>Insurance is meant to protect against the unexpected.  I may feel I&#039;m such a good driver I don&#039;t need car insurance.  However when the deer ran out infront of me and I totalled my car, I was glad I had it.
Young healthy people may feel they don&#039;t need health insurance, but where I work we get a lot of young healthy uninsured people with appendicitis, PID, injuries not covered by property and casualty insurance, etc.  Who pays for that?  We all do, because the patients do not.</description>
		<content:encoded><![CDATA[<p>Insurance is meant to protect against the unexpected.  I may feel I&#8217;m such a good driver I don&#8217;t need car insurance.  However when the deer ran out infront of me and I totalled my car, I was glad I had it.<br />
Young healthy people may feel they don&#8217;t need health insurance, but where I work we get a lot of young healthy uninsured people with appendicitis, PID, injuries not covered by property and casualty insurance, etc.  Who pays for that?  We all do, because the patients do not.</p>
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		<title>By: Mark Plaster</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/the-problem-with-opt-out-plans/#comment-14941</link>
		<dc:creator>Mark Plaster</dc:creator>
		<pubDate>Wed, 18 Nov 2009 12:08:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3839#comment-14941</guid>
		<description>&quot;Every school child is allocated a certain dollar amount, lets say it is $5000/ year. That $5000 will go to whatever school the child is enrolled in, public, private, or religious.&quot; What have you been smoking?  You are describing a voucher system.  That WAS in place in DC until Congress cancelled it.  No other place in the country has such a system. Private schools get nada from the state.</description>
		<content:encoded><![CDATA[<p>&#8220;Every school child is allocated a certain dollar amount, lets say it is $5000/ year. That $5000 will go to whatever school the child is enrolled in, public, private, or religious.&#8221; What have you been smoking?  You are describing a voucher system.  That WAS in place in DC until Congress cancelled it.  No other place in the country has such a system. Private schools get nada from the state.</p>
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		<title>By: ERP</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/the-problem-with-opt-out-plans/#comment-14929</link>
		<dc:creator>ERP</dc:creator>
		<pubDate>Wed, 18 Nov 2009 05:15:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3839#comment-14929</guid>
		<description>Lemmee guess.  South Carolina, Alaska, Texas and Alabama will opt out.
Good.  Helps pay for the uninsured in my state.</description>
		<content:encoded><![CDATA[<p>Lemmee guess.  South Carolina, Alaska, Texas and Alabama will opt out.<br />
Good.  Helps pay for the uninsured in my state.</p>
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		<title>By: ladyk73</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/the-problem-with-opt-out-plans/#comment-14923</link>
		<dc:creator>ladyk73</dc:creator>
		<pubDate>Wed, 18 Nov 2009 02:17:01 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3839#comment-14923</guid>
		<description>Not to be annoying or anything...but it really bugs me that people think that a mob of Canadians dependent on the US for medical care.   I live 5 miles from Ontario.  It is by far the worst province (for healthcare) In Canada.   From what I have heard it is a bitch to get an MRI in Ontario.   The only time I have stumbled over Canadians here in Buffalo/ Niagara Falls (which is the closest American city to the biggest Canadian city...Toronto) is in Diagnostic centers.     

Now in the Niagara Peninsula...there was a push to close two ERs and make them urgent care centers.   That would  basically make one ER (I mean ED!!!) for a 20 mile radius.   It was funny because NYS was trying to close three of our hospitals.

Anyways....I will be more likely to see Canadians at the mall then any medical center.</description>
		<content:encoded><![CDATA[<p>Not to be annoying or anything&#8230;but it really bugs me that people think that a mob of Canadians dependent on the US for medical care.   I live 5 miles from Ontario.  It is by far the worst province (for healthcare) In Canada.   From what I have heard it is a bitch to get an MRI in Ontario.   The only time I have stumbled over Canadians here in Buffalo/ Niagara Falls (which is the closest American city to the biggest Canadian city&#8230;Toronto) is in Diagnostic centers.     </p>
<p>Now in the Niagara Peninsula&#8230;there was a push to close two ERs and make them urgent care centers.   That would  basically make one ER (I mean ED!!!) for a 20 mile radius.   It was funny because NYS was trying to close three of our hospitals.</p>
<p>Anyways&#8230;.I will be more likely to see Canadians at the mall then any medical center.</p>
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		<title>By: ladyk73</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/the-problem-with-opt-out-plans/#comment-14922</link>
		<dc:creator>ladyk73</dc:creator>
		<pubDate>Wed, 18 Nov 2009 01:52:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3839#comment-14922</guid>
		<description>Gotta say....your post started with a big fat *poof.*  I think you got the education analogy wrong.   I am not sure of the specifics... But here in NYS it works kind of like this:   Every school child is allocated a certain dollar amount, lets say it is $5000/ year.  That $5000 will go to whatever school the child is enrolled in, public, private, or religious.  The state then may give additional support to the public school system (lets say another $1000 per pupil)Then the local school taxes pay for the rest(perhaps another $3000 per child).

I am not sure of the specifics...but private elementary and secondary schools are given funding by the government around these parts...</description>
		<content:encoded><![CDATA[<p>Gotta say&#8230;.your post started with a big fat *poof.*  I think you got the education analogy wrong.   I am not sure of the specifics&#8230; But here in NYS it works kind of like this:   Every school child is allocated a certain dollar amount, lets say it is $5000/ year.  That $5000 will go to whatever school the child is enrolled in, public, private, or religious.  The state then may give additional support to the public school system (lets say another $1000 per pupil)Then the local school taxes pay for the rest(perhaps another $3000 per child).</p>
<p>I am not sure of the specifics&#8230;but private elementary and secondary schools are given funding by the government around these parts&#8230;</p>
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