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Sat Jul 25 15:55:41 BST 2009

Pogo was the best, lol

On Jul 25, 2009, at 10:53 AM, McSwain, Norman E Jr. wrote:

> Just to support part of what Ken says, a friend of mine who was  
> recently hospitalized in California, was awestruck by a hospital  
> bill of > $38,000 for outpatient surgery. The itemized showed, for  
> example, that the charge for ONE (1) Vicodin was $97.00 .  "We met  
> the enemy and he is us." to quote Pogo
>
> Norman
>
> Norman McSwain MD
> Trauma Director, Charity Hospital
> Professor of Surgery, Tulane University
> New Orleans LA
> 504 988 5111
> norman.mcswain at tulane.edu <mailto:norman.mcswain at tulane.edu>
>
> ________________________________
>
> From: trauma-list-bounces at trauma.org on behalf of kmattox at aol.com
> Sent: Sat 7/25/2009 9:39 AM
> To: Trauma-List [TRAUMA.ORG]
> Subject: Re: BRAVO to the ACS
>
>
>
> If the objective is to cut costs and stop spiral of medicare  
> spending, that can be done, if we have the political and cultural  
> will, that can be done by mid afternoon today.  Just apply the  
> system under which Norm and I have worked for decades.
>
> If the objective is access for all, that too is possible by noon  
> today if we are willing to just do it and cut out big profits of  
> insurance companies and charge markups by hospitals, and adm-legal  
> costs and make some hard prioritization decisions.   If the issue is  
> to federalize medicine, religion, the internet, legal services,  
> ownership of property, education, food services....., etc.,  it will  
> NEVER happen in the USA.
> K
>
>
> Sent via BlackBerry by AT&T
>
> -----Original Message-----
> From: "McSwain, Norman E Jr." <nmcswai at tulane.edu>
>
> Date: Sat, 25 Jul 2009 09:24:52
> To: Trauma-List [TRAUMA.ORG]<trauma-list at trauma.org>
> Subject: RE: BRAVO to the ACS
>
>
> Ken is correct. It is all smoke and mirrors. It shifts power from  
> private enterprise to the government. it shifts from capitalism to  
> socialism. This will create a czar of medicine who will decide what  
> medical care is given and when.
>
> It will not work as advertised.
>
> I can say that from experience. I come from the only state in the  
> Union with universal health care. In fact, we have had such a system  
> since the 1930's. Gov. Huey P. Long created a medical care system   
> that "no citizen is more than a day's horse back ride away from a  
> hospital'. Every Louisiana citizen is guaranteed health care Our  
> system cost almost more per capita than any state in the union and  
> our health care is very close to the bottom. I believe we are 4th  
> from the top in cost and 4th from the bottom in outcome.
>
> If that is your goal for US health care, then support the current  
> legislation unchanged.
>
>
> Norman
>
> Norman McSwain MD
> Trauma Director, Charity Hospital
> Professor of Surgery, Tulane University
> New Orleans LA
> 504 988 5111
> norman.mcswain at tulane.edu <mailto:norman.mcswain at tulane.edu>
>
> ________________________________
>
> From: trauma-list-bounces at trauma.org on behalf of kmattox at aol.com
> Sent: Sat 7/25/2009 7:27 AM
> To: Trauma-List [TRAUMA.ORG]
> Subject: Re: BRAVO to the ACS
>
>
>
> NeitHer do most Americans.   This is why ACS, AMa and others - YOU  
> must be iNvolved.    The bill in coNgress is about shift in power  
> and control not reform in your health system.
> Sent via BlackBerry by AT&T
>
> -----Original Message-----
> From: Sanjay Gupta <sanjaygupta99_91 at yahoo.com>
>
> Date: Sat, 25 Jul 2009 03:41:36
> To: Trauma-List [TRAUMA.ORG]<trauma-list at trauma.org>
> Subject: RE: BRAVO to the ACS
>
>
>
> If the Government is asking for another 1 trillion dollars (that is  
> one million times one million dollars), how the Federal Program is  
> saving money is difficult for me to understand.  Well - I am just a  
> docotor, I do not understand numbers.
>
>
> Sanjay Gupta
>
>
>
>
>
> --- On Fri, 7/24/09, McSwain, Norman E Jr. <nmcswai at tulane.edu> wrote:
>
>> From: McSwain, Norman E Jr. <nmcswai at tulane.edu>
>> Subject: RE: BRAVO to the ACS
>> To: "Trauma-List [TRAUMA.ORG]" <trauma-list at trauma.org>
>> Date: Friday, July 24, 2009, 7:43 PM
>> The change is welcome
>>
>> Norman
>>
>> Norman McSwain MD
>> Trauma Director, Charity Hospital
>> Professor of Surgery, Tulane University
>> New Orleans LA
>> 504 988 5111
>> norman.mcswain at tulane.edu
>> <mailto:norman.mcswain at tulane.edu>
>>
>>
>> ________________________________
>>
>> From: trauma-list-bounces at trauma.org
>> on behalf of KMATTOX at aol.com
>> Sent: Fri 7/24/2009 8:17 PM
>> To: trauma-list at trauma.org
>> Subject: Re: BRAVO to the ACS
>>
>>
>>
>> Still under discussion.   This was enabling
>> not funding  legislation.
>> Contact our congresspersons.    It  is the
>> Principle here that is important.
>> This is a pivital point in  health care
>> reform.   Up to this point the
>> objective has not been  health care reform, but a
>> shift from private medicine to
>> federalized funding and  control.   As
>> of TODAY, with this leadership,
>> there has been a shift  in FOCUS NATIONAL, led by the
>> ACS and the AMA to do what
>> is best for patients,  for quality, for access, and
>> then address the
>> funding.    There  is already sufficient
>> funding in the existing 3 trillion/year
>> expenditures in  hard money and in kind contributions
>> to do what everyone
>> desires.   It  is the governance that
>> is the debate, and as of today it is
>> being defined by  over riding governing principles,
>> not partisan politics for
>> power and  control.
>>
>> k
>>
>>
>>
>>
>>
>> In a message dated 7/24/2009 8:13:37 P.M. Central Standard
>> Time,
>> nmcswai at tulane.edu
>> writes:
>>
>> Ken
>> Is funding for uncompensated patient care included?
>> Is  the Emergency Care Coordination Center funded?
>>
>>
>> Norman
>>
>> Norman  McSwain MD
>> Trauma Director, Charity Hospital
>> Professor of Surgery,  Tulane University
>> New Orleans LA
>> 504 988  5111
>> norman.mcswain at tulane.edu
>> <mailto:norman.mcswain at tulane.edu>
>>
>>
>> ________________________________
>>
>> From:  trauma-list-bounces at trauma.org
>> on behalf of KMATTOX at aol.com
>> Sent: Fri  7/24/2009 7:40 PM
>> To: trauma-list at trauma.org
>> Cc: brittld at evms.edu;
>> Redstart at aol.com;
>> KMATTOX at aol.com
>> Subject: BRAVO to the  ACS
>>
>>
>>
>> The ACS sent this news brief out this afternoon - WELL
>> DONE  -  I  recommend
>> that Medical Disaster Response be added to this  and
>> maybe even add
>> something about Acute Care Surgery
>>
>> k
>>
>> HOUSE COMMITTEE APPROVES  LANGUAGE ENSURING ACCESS
>> TO  TRAUMA CARE
>>
>> On July 20, the House Energy and Commerce Committee
>> approved  an amendment
>> to H.R. 3200, America's Affordable Health  Choices Act
>> of 2009,  which would
>> expand patient access to emergency  and trauma care.
>> The approved
>> amendment,
>> which was still being  reviewed by the College's
>> congressional affairs
>> staff at press time, would  regionalize emergency care
>> and shore up the
>> nation's
>> trauma centers. The  new language also calls for
>> authorizing the
>> establishment of  an  Emergency Care Coordination
>> Center, which would serve
>> as a
>> centralized  hub  for all urgent care. As noted
>> previously in ACS
>> NewsScope, the
>> regionalization and trauma center language was also
>> included in the  health
>> care  reform legislation that the Senate Health,
>> Education,  Labor, and
>> Pensions
>> Committee approved earlier this month. For more
>> information, contact
>> kmcdonald at facs.org
>> .
>>
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