Usually don't watch TV on a school night but you made me check the recording. Pretty good stuff. But only once did he point out that an ex-Haliburton contractor was spending the 120 million bucks of privatization money to do nothing but leave the soldiers to rot in the mold, rats and cockroaches.<br><br>The privatization as the problem should be pointed out more often. <br><br>
Is privatisation the problem though? Sounds like the problem has been there for a lot tonger.<br><br>Just that privatisation isn't likely to fix the problem since the idea of contract bids is that a corp is supposed to run things cheaper than the government used to. If the government can't provide a basic level of care, then does anyone expect a corporation to provide any better - except to it's shareholders of course.<br><br>I used to think it was terrible that life was unfair. Then I thought what if life were fair and all of the terrible things that happen came because we really deserved them? Now I take comfort in the general unfairness and hostility of the universe.
_________________________ I used to think it was terrible that life was unfair. Then I thought what if life were fair and all of the terrible things that happen came because we really deserved them? Now I take comfort in the general unfairness and hostility of the universe.
Privatization is a symptom of the problem, money is the problem. Good care is not cheap. Sending battalions out to serve in Iraq fully armored and supplied is not cheap.<br><br>Privatization is just another symptom of a growing problem. We're trying to do too much with too little. Privatization is just going to make it worse. Wait until they start showing us what all the other VA hospitals look like. <br><br>The conservative mind set that we need small government and the way to get there is to spend less and privatize is backfiring. The destruction of our armed forces is a symptom of that policy. <br><br><br><br><br><br>
<blockquote><font size=1>In reply to:</font><hr><p>The privatization as the problem should be pointed out more often.<p><hr></blockquote><p>Yet they were able to sell that package to greedy people, too lazy to think things through. <br>[color:white]. . . . . . . . . . . . . . . . . . . . . . . . . . . ..</font color=white> <br>That dim "little light" is JUST coming on that not only has "the war that was going to pay <br>for itself" run into trillions of dollars with ~ZIP~ to show for it (beside a few botched <br>lynchings)...and that they(and their prodigy) are now in overwhelming debt to the very <br>nations that hate us most, but that they're also paying for the services that they once got <br>for free, without the benefit of oversight or regulation.<br><br><br>In fact, If I weren't in the same sinking boat right along with them, I'd be LMAO!<br><br><br>[color:white]. . . . . . . . . . . . . . . . . . . . . . . . . . .</font color=white><br><br><br>
I don't think privatization in and of itself is so terrible. It's more a matter of how it's rendered. Clearly the gov't isn't capable of addressing these problems, so in a perfect world, you engage "privateers" who will do a far better job. It's when those privateers are as inept and corrupt as the gov't that hires them that you have these meltdowns.<br><br>But then terms like "cheney admin" and "perfect world" just don't fall into the same bucket.<br><br>
Well Contractors are part of the problem, then there's funding of the VA itself, and lastly one overlooked problem is WHO in the Govt is overseeing the Contractors? We have that problem here at CDC... Contractors don't want to address problems (eats at their profit) BUT who at CDC oversees the damm contract - hold their feet to the fire. <br><br> Also several contractors have gone belly up - then what do you do ? Can't get the $ back, and have no $ for a new contract !! You're FUBAR !!<br><br>Another downside of contracting essential operations !!<br><br>David (OFI)
<blockquote><font size=1>In reply to:</font><hr><p>I don't think privatization in and of itself is so terrible. It's more a matter of how it's rendered. Clearly the gov't isn't capable of addressing these problems, so in a perfect world, you engage "privateers" who will do a far better job.<p><hr></blockquote><p> For health care, especially the care of soldiers I completely disagree. No private contractor is going to do a good job. It is just one more level of unaccountability. The private company has only one goal. Maximize profits for shareholders. This does into make for good health care. <br><br>We have gotten ourselves into a vicious cycle and privatizing will only make it worse. Because we do not have national health care our health care costs have sky rocketed. They will double again without major changes. To get good health care you need dedicated health care workers. Long term government employees is a way of doing that. look at Walter Reed. There were 300 dedicated government health workers. As soon as privatization started happening they were forced out or quit down to 60. Haliburtonite then cut it to 50. Those workers know they are working on a five year contract. No loyalty, quick turnover no accountability.<br><br>Whining and kvetching about the ineptitude and red tape of big government is now a national sport. If you spend a three trillion dollar budget there are going to be at one billion examples of stupid red tape and waste. That is a pretty good percentage. Very efficient. But we only focus on the wasteful stories, the three hundred dollar hammer. <br><br>Anecdotal story: I was renewing my license yesterday. Hadn't been to a Mass RMV in a while and I dreaded the long lines because of the incredible volume of licenses the RMV hands out every day. But I went to their web site and found an update of the wait time at each branch. Picked a branch and the lobby was packed. But efficient check in and processing I was done in twenty minutes. In that time they processed 30 licenses. More than one a minute and this was the Framingham branch not a huge one.<br><br>Is there going to be a Globe Spotlight story about efficient state employees at the RMV any time soon? No, spotlight and make a big deal about the gov's personal phone call instead. We nitpick to death our government. Sure we should oversee and whistleblow and call them on broken campaign promises. But government does a good job. I know I am in the minority but if we always focus on the wrong stuff and we get the government we deserve. Make sure this governor keeps the RMV funded so those employees can be as pleasant as they were yesterday when I renew in six years.<br><br><br><br><br><br>
I can't believe how they keep dismantling the CDC. We are trying to privatize basic research. When they privatize cancer research the only thing we will get out of it is improved Viagra. That's not a joke. Viagra has a profit margin. Chemotherapy for childhood leukemia does not. When a good percentage of your target audience dies the profitability goes down and the litigation costs go up.<br><br><br><br><br><br><br><br><br><br><br><br><br><br>
Like I said, "...in a perfect world..." <br><br>I won't argue with your point on healthcare in general. The decline in quality and the increase in costs that patients see every time a community hospital is taken over by one of these Humana-type giants tells that sad story. <br><br>But IMHO, if privatization is carefully managed and audited by the gov't so that privateers are adding value, then I believe it can work. But the problem as I see it at Walter Reed exists on two levels: the first being the gov't's failure to manage the care on their own; the second being their failure to manage the contractors. The "perfect world" eludes us.<br><br>Anecdotal suggestion: In six years, go to the RMV at the Watertown Mall. They operate like zune through a goose. Pleasant, efficient, and smart.<br><br>Anecdotal skepticism: Speaking of health insurance, supposedly lower rates have now been negotiated for the upcoming mandatory state health insurance program. I carry Tufts (and pay through the rectum because I'm self-employed), which is one of the state partners. I can't wait to see how much of the reduced state mandated premiums get added to what I pay. <br><br>
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