Unaffordability Ebola is Spreading Throughout US Healthcare | healthcare

Driven by “The Number One Concern of Adults and Businesses in the US,” an insatiable, immutable ‘Unaffordability Ebola is attacking another compliant US host: The US Healthcare System.According to experts at Harvard, Johns Hopkins and Mercer, the US System is sick; its prognosis, poor.”We’re reaching the outer limits of affordability,” said Arnold Milstein, MD, Medical Director of PBGH and Chief Physician at Mercer. Milstein was addressing an international conference of providers, educators, brokers and facilitators on Global Health when he said, “We’re seeing an upward spread of The ‘Unaffordability Ebola.”WHAT HAPPENS IN VEGAS…
At the first, International Medical Tourism Conference in Las Vegas in April, Milstein was one of the prominent canaries singing an early warning of a virus attacking the seemingly immune US Healthcare System – “The Best System in the World.” The Canaries were singing at all venues in ‘Vegas but what happened there WON’T stay there. The Ebola is spreading faster than many people will admit…500,000 U.S. PATIENTS ABROADThe National Coalition of Healthcare estimates 500,000 people left the US for treatments last year; 500,000 international patients will visit India this year infusing $2.2Billion into its economy; 200,000 patients visited Singapore in ’05; 100,000 visited Malaysia that same year. It’s a $60 Billion Global Business that’s growing 20% a year.A presentation titled: “Leveling the Global Healthcare Playing Field,” Harvard Medical International President Dr. Robert Crone argued:1.) Regional Health Systems have achieved quality services at lower cost than US systems;2.) Global Standards and Benchmarks of quality are emerging;3.) Medical Tourism is growing, and global insurers will participate. Privately, he said, “they’re going to eat our lunch.”BARK, AND A BITE!Dr. Crone knows what’s he’s talking about. He has the credentials one would expect of a guy who’s at the top of the food chain at Harvard Medical. He’s lectured and implemented health education and delivery system programs in more countries than the average American could spell – or find on a map! A Top Dog in global healthcare, Dr. Crone has the bedside manner of a Junk Yard Dog: both his bark – and bite – hurt!”In the Flat Medicine World,” he said, “US facilities may be seriously disadvantaged, and adversely impacted in the global marketplace. Oh well,” he said smugly, “we had our Century.”Crone rattled off the maladies running rampant throughout the US system today, then piled on several scary scenarios ahead. It was a foreboding message for anyone planning to access US Healthcare today, or tomorrow. (Meaning, probably, every single American: rich, poor, healthy, sick!)Like other industries, healthcare has globalized and the new, uber competitive marketplace is introducing unimagined (some say impossible) features and benefits to consumers: Cheap, Comparable Outcomes and Outstanding Customer Service…What’s not to like?Let’s say you are uninsured and need a new knee? (What if you needed something less invasive like, say, your annual physical?) What if you wanted a face lift; a breast reduction; tummy tuck or a sex change? Since you’re responsible for the FULL price, you’re probably going to shop around a bit (after you self-diagnosed yourself, of course).As you’re shopping, you’re probably trying to find other important things to study and measure besides reputation and credentials alone. Unfortunately, there is very little accessible, comparable consumer information on cost, quality and care in the US. As a result, even the most unsophisticated buyer of healthcare is drawn to the international healthcare bizarre on the internet – and a sale can be made half way ’round the earth in the dead of night. That’s the new world of medicine.JOE SIXPACKLet’s say you’re a self insured employer – responsible for the first $50,000 or so on each employee. Would you consider recommending old Joe from Sales consider an awake, beating heart coronary artery bypass grafting at a superspeciality hospital in India – instead of the local provider? Would you ask/beg Joe (and his wife) to go halfway around the world for three weeks of treatment for the financial health of the company? Would you rewrite your Plan Document to take advantage of global pricing? Would you consider Singapore as your new Preferred Provider Network?And what about a good deal for taxpayers? Should the US Government send Medicaid patients packing? What about Medicare? Should taxpayers shell out $65,000 for grandma’s new hip when she can get hip resurfacing for $13,500 in India (including air fare and a week on the beach)?And how about all those new, high deductible health plans being sold in the US – where your best interest (maybe your only interest) is buying the most cost-effective care you can find?Would you fly 10,000 miles for a couple new crowns – plus a week on the beach – if you’d save $1,000? A TIME Magazine poll in May ’06 found that 45% of uninsured people said they would; 19% of insured people said they would, too.When asked if they could save $5000, 61% of the uninsured and 40% of insureds said they would travel 10,000 miles for an elective procedure.HOLD THE MAYOImagine your Executive Physical at a Mayo vs Maya? (Come on, guys, wouldn’t you be more inclined to actually have an annual physical – even with a colonoscopy – if it included a week on the beach with a martini and a massage for less than you’d spend for three days in Rochester, Minnesota?)Medical Tourism is Hot. (Some call it: “Medical Value Travel;” to others, it’s Consumer Driven Healthcare at its most driven level.) Whatever YOU call it, it’s economics applied to healthcare for the first time in more than 50 years.Medical Value Travel has been going on in the world for a long time, but most tourism has been inbound to the Mayos and the Cleveland Clinics of the world. Since 911, however, inbound Medical Travel has all but dried up in the US while outbound tourism is growing by leaps and bounds. Instead of Cleveland, it’s Chennai; Mumbai instead of Mayo. The Brave New World of Healthcare.Nicolet Bank Business Pulse© is a quarterly economic study of CEOs, O&Os and GMs in 10 Northeastern Wisconsin counties. (Businesses from all sectors and all sizes are represented in the sample.)In January, Nicolet Bank posed several questions about Medical Tourism: 52% of the CEOs, O&Os and GMs never heard of Medical Tourism; 23% heard of it, but didn’t know much about it; 17% were somewhat familiar; 9% very familiar.The Nicolet Bank Business Pulse© also asked: How interested would you be in traveling to another country for a routine procedure (e.g. your Executive Physical) if you knew the cost would be considerably less – and the care would be equally good?”Nearly a third said they’d be interested,” said Dr. David Wegge, president of IntellectualMarketing, LLC – the firm that conducts the studies for Nicolet Bank of Green Bay. “I don’t know how this compares to national CEO data; I suspect we’re the first ones to ask.”Wegge was surprised that a third of the CEOs would be interested, “especially among CEOs who probably have health insurance and fewer financial worries.” 30% were definitely not interested; 23% were probably not interested; 19% said, “It depends on the country.” (Of the countries listed, Canada was the overall preferred provider; Russia was dead last – definitely an OUT of network provider!)Nicolet Bank also asked CEOs 1.) “Would you be more interested if a medical trip were combined with a business opportunity and; 2.) Would you be more interested if it included a vacation with spouse/partner. “The levels changed substantially,” Wegge said.**Contact Wegge for detailed analysis: 920.217.7738

How to Play 5 Card Draw | Card Games

The poker game 5 Card Draw is one of the poker variations that has enjoyed a long and popular history as a great casino poker game. Since the advent of online casinos and poker sites, the popularity of all poker games has grown exponentially around the world. 5 Card Draw is a constant feature in online poker, popular with both experienced players who learned the game in the casino, as well as new players who have the opportunity to learn how to play poker thanks to poker software.One of the most popular poker trends in the world today is community card games. Unlike 5 Card Draw, these games use a shared pool of community cards that all players can see and use to make their final poker hands. Contrary to the community card poker style are games like 5 Card Draw and 7 Card Stud. Instead of using community cards during play, every card dealt in 5 Card Draw is viewed only by its recipient. The concept of the game thus differs greatly from community card games like Texas Hold’Em poker. The nature of the game is more private, intense, and introspective; this feeling is also aided by the fact that 5 Card Draw can have a maximum of five players at a table, creating an intimate playing atmosphere. Poker gambling also changes significantly during 5 Card Draw. Since all cards are private, 5 Card Draw players must intuit what other players are holding based solely on how other players draw and bet.At the start of 5 Card Draw, a dealer must be selected. Poker rules dictate that each player is dealt one card, and whoever has the highest card is the first dealer. From this point forward, the task of dealing moves clockwise around the table amongst all of the players.The player to the left of the dealer starts the game by placing the small blind into the pot. The second player will then place the big blind into the pot.The dealer then deals each player five cards face down. After players have a chance to examine their cards, the first round of betting commences with the player sitting on the dealer’s left. After betting, all remaining players in the game have the chance to exchange some, none, or all of their cards for new cards. This is the only part of 5 Card Draw where players may exchange cards. Exchanging cards is a big part of 5 Card Draw poker strategy. Players exchange cards with the hope of making a cohesive, high-ranking 5-card hand.After the first draw, the second round of betting commences. Players bet on their new hands up to the table limit. Once the betting is complete, all remaining players proceed to the show down, the process of laying their 5-card hands out on the table. The player with the best hand wins the game’s pot. Players should remember that no real money is exchanged in free online poker.


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