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	<title>Comments on: The Financial Crisis &#8211; Let&#8217;s Hear Your Thoughts on How It Will Affect Healthcare</title>
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	<link>http://histalk2.com/2008/09/28/the-financial-crisis-lets-hear-your-thoughts-on-how-it-will-affect-healthcare/</link>
	<description>Healthcare IT News and Opinion</description>
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		<title>By: anonymous</title>
		<link>http://histalk2.com/2008/09/28/the-financial-crisis-lets-hear-your-thoughts-on-how-it-will-affect-healthcare/comment-page-1/#comment-2374</link>
		<dc:creator>anonymous</dc:creator>
		<pubDate>Wed, 01 Oct 2008 03:19:10 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2008/09/28/the-financial-crisis-lets-hear-your-thoughts-on-how-it-will-affect-healthcare/#comment-2374</guid>
		<description>If this site is going to become a place for political diatribes, it will die a fast painful death.  (And I for one would hate to see that happen.  This site, until this evening, has been developing into a magnificent place for insight and creative solution building.)  

Moderator, can we please keep the posts focused on how we can improve healthcare and help each other build the systems and policies that help patients and staff.  Can you remove any posts that try to hi-jack this thread to make overt political statements.  There are plenty of other blogs and sites where finger pointing and anger can be vented.

Thanks in advance.</description>
		<content:encoded><![CDATA[<p>If this site is going to become a place for political diatribes, it will die a fast painful death.  (And I for one would hate to see that happen.  This site, until this evening, has been developing into a magnificent place for insight and creative solution building.)  </p>
<p>Moderator, can we please keep the posts focused on how we can improve healthcare and help each other build the systems and policies that help patients and staff.  Can you remove any posts that try to hi-jack this thread to make overt political statements.  There are plenty of other blogs and sites where finger pointing and anger can be vented.</p>
<p>Thanks in advance.</p>
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		<title>By: Abbas Shojaee</title>
		<link>http://histalk2.com/2008/09/28/the-financial-crisis-lets-hear-your-thoughts-on-how-it-will-affect-healthcare/comment-page-1/#comment-2369</link>
		<dc:creator>Abbas Shojaee</dc:creator>
		<pubDate>Tue, 30 Sep 2008 23:42:18 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2008/09/28/the-financial-crisis-lets-hear-your-thoughts-on-how-it-will-affect-healthcare/#comment-2369</guid>
		<description>It will be like the forest on the fire. Very large the benefits would cut but they will survive. Middle class will undergo the worse condition and several subclinical and obvious bankruptcies will occur. Later on the ashes numerous new more competitive, innovative, motivated, smart and hard headed companies will appear.(2-5 years) Internal white folds loose their market part to foreigner workers (Indians and chinise)(1-5 years). The lag of new technology employment will follow by cheaper and more effective solutions which already fostered by the fire&#039;s ashes.(4-10 years).
I think except for a short period, it wont discourage new entrance but it will shift the nature and the paradigm( both technologic and business model). I guess it will encourage more web based, service oriented, free but closed source.
Insurances will pay more on HIT in middle and long term(4-10 years) specially on SMEs. In spite of bad short time, I am very optimistic with mid and long term consequences.</description>
		<content:encoded><![CDATA[<p>It will be like the forest on the fire. Very large the benefits would cut but they will survive. Middle class will undergo the worse condition and several subclinical and obvious bankruptcies will occur. Later on the ashes numerous new more competitive, innovative, motivated, smart and hard headed companies will appear.(2-5 years) Internal white folds loose their market part to foreigner workers (Indians and chinise)(1-5 years). The lag of new technology employment will follow by cheaper and more effective solutions which already fostered by the fire&#8217;s ashes.(4-10 years).<br />
I think except for a short period, it wont discourage new entrance but it will shift the nature and the paradigm( both technologic and business model). I guess it will encourage more web based, service oriented, free but closed source.<br />
Insurances will pay more on HIT in middle and long term(4-10 years) specially on SMEs. In spite of bad short time, I am very optimistic with mid and long term consequences.</p>
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		<title>By: Concerened about Concerned...</title>
		<link>http://histalk2.com/2008/09/28/the-financial-crisis-lets-hear-your-thoughts-on-how-it-will-affect-healthcare/comment-page-1/#comment-2368</link>
		<dc:creator>Concerened about Concerned...</dc:creator>
		<pubDate>Tue, 30 Sep 2008 19:41:33 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2008/09/28/the-financial-crisis-lets-hear-your-thoughts-on-how-it-will-affect-healthcare/#comment-2368</guid>
		<description>Yes, the speculative nature of oil is an issue that needs to be addressed.  However, we also have other issues involving oil, ie the quality and quantity of oil production as well.  If this information was more freely available speculation would go away.  

Ah the war.  There is nothing that could be said that will add to the intelligent discourse of the war.  Regretfully though some of the expenditures of the war that are being reported, and actually items paid for and produced years ago, so the cash outlay is over exaggerated.  Most of these items would not be replaced but simply put out to rust and devalue.  Also, most military R&amp;D expenditures have lead the way to some great developments in the private sector, so this might not be the best idea.  I am not defending the war, by any means just trying to show another side.

If you want something to get upset about lets talk about the financial inequity in America.  The top 400 (based on volume is only 20% of the daily readers to this fine website) people in American account for over $70,000,000,000 in pre-tax income annually.  That averages out close to $168,000,000 in income person.  Lets be extraordinarily aggressive and say the average personal income is $50,000.  That means the average American only earns .03% of the top 400 people.  Frame of reference if you make $50k, .03% is only $15 dollars, or what you would pay to go out to eat.

Also, the wealthy rich have been getting serious tax cuts year over year.  In fact their average tax rate is not much higher then what someone at 50K would make.  I think the uber-wealthy can afford a bit more then 30% tax rate.  Really how many golden toilets and diamond studded cell phones does one person need.  Or for that fact how many houses do you really need.  Because 20 households might not be enough this day and age.  There is a common problem in businesses where a company makes too much cash and has excess cash flows.  People are no different.  Excess cash flow just creates waste.  Higher tax rates prevent waste.  

In fact if we charge them 10% of their annual income for 10 years, guess what we get.....We get $700B.   There is a a simple way to pay for the bailout.  Or hell for the next 30 years, we could pay the national debt down by 30%.  Keep in mind these people would never have had a chance to earn this money without America.  It time to give back, to what help gave you the opportunity for success. 

Besides if you make $168M and are taxed at 50% that leaves you with $84,000,000 to go play around with, so you can still get your golden toilets in all your restrooms just might take 5 years instead of one to out lay your all the restrooms in your 20 mansions with them.  

And to think their children not getting feed or educated, people walking around homeless,  people with out health insurance.</description>
		<content:encoded><![CDATA[<p>Yes, the speculative nature of oil is an issue that needs to be addressed.  However, we also have other issues involving oil, ie the quality and quantity of oil production as well.  If this information was more freely available speculation would go away.  </p>
<p>Ah the war.  There is nothing that could be said that will add to the intelligent discourse of the war.  Regretfully though some of the expenditures of the war that are being reported, and actually items paid for and produced years ago, so the cash outlay is over exaggerated.  Most of these items would not be replaced but simply put out to rust and devalue.  Also, most military R&amp;D expenditures have lead the way to some great developments in the private sector, so this might not be the best idea.  I am not defending the war, by any means just trying to show another side.</p>
<p>If you want something to get upset about lets talk about the financial inequity in America.  The top 400 (based on volume is only 20% of the daily readers to this fine website) people in American account for over $70,000,000,000 in pre-tax income annually.  That averages out close to $168,000,000 in income person.  Lets be extraordinarily aggressive and say the average personal income is $50,000.  That means the average American only earns .03% of the top 400 people.  Frame of reference if you make $50k, .03% is only $15 dollars, or what you would pay to go out to eat.</p>
<p>Also, the wealthy rich have been getting serious tax cuts year over year.  In fact their average tax rate is not much higher then what someone at 50K would make.  I think the uber-wealthy can afford a bit more then 30% tax rate.  Really how many golden toilets and diamond studded cell phones does one person need.  Or for that fact how many houses do you really need.  Because 20 households might not be enough this day and age.  There is a common problem in businesses where a company makes too much cash and has excess cash flows.  People are no different.  Excess cash flow just creates waste.  Higher tax rates prevent waste.  </p>
<p>In fact if we charge them 10% of their annual income for 10 years, guess what we get&#8230;..We get $700B.   There is a a simple way to pay for the bailout.  Or hell for the next 30 years, we could pay the national debt down by 30%.  Keep in mind these people would never have had a chance to earn this money without America.  It time to give back, to what help gave you the opportunity for success. </p>
<p>Besides if you make $168M and are taxed at 50% that leaves you with $84,000,000 to go play around with, so you can still get your golden toilets in all your restrooms just might take 5 years instead of one to out lay your all the restrooms in your 20 mansions with them.  </p>
<p>And to think their children not getting feed or educated, people walking around homeless,  people with out health insurance.</p>
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		<title>By: Concerned</title>
		<link>http://histalk2.com/2008/09/28/the-financial-crisis-lets-hear-your-thoughts-on-how-it-will-affect-healthcare/comment-page-1/#comment-2367</link>
		<dc:creator>Concerned</dc:creator>
		<pubDate>Tue, 30 Sep 2008 18:43:53 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2008/09/28/the-financial-crisis-lets-hear-your-thoughts-on-how-it-will-affect-healthcare/#comment-2367</guid>
		<description>It&#039;s so painful to see all this so called meltdown and American citizens are openly fooled by the administration and we all take it - like getting used to slow poisoning!!

Some points ( not necessarily healthcare)
A barrel of oil changes hands 25 times before someone takes delivery of the physical crude. So 24 times it was merely speculted upon with not intention to actually buy the crude. If all futures trading in crude is banned ( only buy if you intend to take delivery of the crude), i bet we&#039;ll see $2.5 to $2.75 gas. Why on earth are investment banks allowed to trade in crude. I don&#039;t know any investment bank with crude refining facilities or retail gas pumps!!
If crude comes down, we all ( including healthcare) benefit.

Second, we need to curtail our defense and war budgets. America has a war history like no other contry on the planet. Thats not the way to deal with problems today. The country&#039;s popularity rating nosedive, people start hating and it&#039;s god damn expensive. US spends over 100 biilion annually in Iraq. This is waste. Lets build our own country first before we help others build theirs.
( And now the Bush administration has the nerve to think war in Iran?????)
If Bush diverted 1/100 of his defense budget on alternate energy R&amp;D, it would have been a totally different picture.

American citizens should really really take all these events seriously. In a Democracy, the real power lies with the people and it seems everyone is just too complacent to use it. 

Can your leaders take you to war if you don&#039;t want to??? Can you leaders promote future&#039;s trading in crude if you don&#039;t want to?? They can&#039;t !!!!</description>
		<content:encoded><![CDATA[<p>It&#8217;s so painful to see all this so called meltdown and American citizens are openly fooled by the administration and we all take it &#8211; like getting used to slow poisoning!!</p>
<p>Some points ( not necessarily healthcare)<br />
A barrel of oil changes hands 25 times before someone takes delivery of the physical crude. So 24 times it was merely speculted upon with not intention to actually buy the crude. If all futures trading in crude is banned ( only buy if you intend to take delivery of the crude), i bet we&#8217;ll see $2.5 to $2.75 gas. Why on earth are investment banks allowed to trade in crude. I don&#8217;t know any investment bank with crude refining facilities or retail gas pumps!!<br />
If crude comes down, we all ( including healthcare) benefit.</p>
<p>Second, we need to curtail our defense and war budgets. America has a war history like no other contry on the planet. Thats not the way to deal with problems today. The country&#8217;s popularity rating nosedive, people start hating and it&#8217;s god damn expensive. US spends over 100 biilion annually in Iraq. This is waste. Lets build our own country first before we help others build theirs.<br />
( And now the Bush administration has the nerve to think war in Iran?????)<br />
If Bush diverted 1/100 of his defense budget on alternate energy R&amp;D, it would have been a totally different picture.</p>
<p>American citizens should really really take all these events seriously. In a Democracy, the real power lies with the people and it seems everyone is just too complacent to use it. </p>
<p>Can your leaders take you to war if you don&#8217;t want to??? Can you leaders promote future&#8217;s trading in crude if you don&#8217;t want to?? They can&#8217;t !!!!</p>
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		<title>By: DRPend</title>
		<link>http://histalk2.com/2008/09/28/the-financial-crisis-lets-hear-your-thoughts-on-how-it-will-affect-healthcare/comment-page-1/#comment-2366</link>
		<dc:creator>DRPend</dc:creator>
		<pubDate>Tue, 30 Sep 2008 15:08:29 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2008/09/28/the-financial-crisis-lets-hear-your-thoughts-on-how-it-will-affect-healthcare/#comment-2366</guid>
		<description>Pretty obvious actually.  No money in the Government sector means that only private pay will flourish.  Given the skinflint attitude and bad press that the American Healthcare market has gotten most of them will go overseas.  Eventually it will all roll downhill and healthcare IT will dry up.  There is a fix for this.  And yes I di blame the Republican encomic standard.  We saw what happened at the end of the first Reagan/Bush era.  When the debt goes too high it drys up the open money pool. Recent out sourcing has exacerbated this by creating &quot;trickle out&quot; economics rather than &quot;trickle down&quot; so that the middle class is essentially broke. This amounts to a back end tax on the middle class.  The only way to rectify it is to put a front end tax on the super wealthy.  They&#039;ve reaped the benefit of the past gains, so now they need to bail the situation out.  After all they are the only ones with any real cash now.  Ironically many of them are heavily invested in foreign markets (Isn&#039;t Amalga based in Thailand?).

The truth is that the big players will get bigger and the little and many of the medium players will disappear, regardless of what is done next.</description>
		<content:encoded><![CDATA[<p>Pretty obvious actually.  No money in the Government sector means that only private pay will flourish.  Given the skinflint attitude and bad press that the American Healthcare market has gotten most of them will go overseas.  Eventually it will all roll downhill and healthcare IT will dry up.  There is a fix for this.  And yes I di blame the Republican encomic standard.  We saw what happened at the end of the first Reagan/Bush era.  When the debt goes too high it drys up the open money pool. Recent out sourcing has exacerbated this by creating &#8220;trickle out&#8221; economics rather than &#8220;trickle down&#8221; so that the middle class is essentially broke. This amounts to a back end tax on the middle class.  The only way to rectify it is to put a front end tax on the super wealthy.  They&#8217;ve reaped the benefit of the past gains, so now they need to bail the situation out.  After all they are the only ones with any real cash now.  Ironically many of them are heavily invested in foreign markets (Isn&#8217;t Amalga based in Thailand?).</p>
<p>The truth is that the big players will get bigger and the little and many of the medium players will disappear, regardless of what is done next.</p>
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