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  2623) Croceerbgen aus Croceerbgen schrieb am 17.November 2017 um 14:03 Uhr:
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  2623b) Anzeige / Angebote schrieb am 18.November 2017:


 

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  2622) WilliamcaW aus WilliamcaW schrieb am 15.November 2017 um 22:44 Uhr:
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First, let's get a little historical perspective on American health care. This is not intended to be an exhausted look into that history but it will give us an appreciation of how the health care system and our expectations for it developed. What drove costs higher and higher?

To begin, let's turn to the American civil war. In that war, dated tactics and the carnage inflicted by modern weapons of the era combined to cause ghastly results. Not generally known is that most of the deaths on both sides of that war were not the result of actual combat but to what happened after a battlefield wound was inflicted. To begin with, evacuation of the wounded moved at a snail's pace and this caused severe delays in treating the wounded. Secondly, many wounds were subjected to wound care, related surgeries and/or amputations of the affected limbs and this often resulted in the onset of massive infection. So you might survive a battle wound only to die at the hands of medical care providers who although well-intentioned, their interventions were often quite lethal. High death tolls can also be ascribed to everyday sicknesses and diseases in a time when no antibiotics existed. In total something like 600,000 deaths occurred from all causes, over 2% of the U.S. population at the time!

Let's skip to the first half of the 20th century for some additional perspective and to bring us up to more modern times. After the civil war there were steady improvements in American medicine in both the understanding and treatment of certain diseases, new surgical techniques and in physician education and training. But for the most part the best that doctors could offer their patients was a "wait and see" approach. Medicine could handle bone fractures and increasingly attempt risky surgeries (now largely performed in sterile surgical environments) but medicines were not yet available to handle serious illnesses. The majority of deaths remained the result of untreatable conditions such as tuberculosis, pneumonia, scarlet fever and measles and/or related complications. Doctors were increasingly aware of heart and vascular conditions, and cancer but they had almost nothing with which to treat these conditions.

This very basic review of American medical history helps us to understand that until quite recently (around the 1950's) we had virtually no technologies with which to treat serious or even minor ailments. Here is a critical point we need to understand; "nothing to treat you with means that visits to the doctor if at all were relegated to emergencies so in such a scenario costs are curtailed. The simple fact is that there was little for doctors to offer and therefore virtually nothing to drive health care spending. A second factor holding down costs was that medical treatments that were provided were paid for out-of-pocket, meaning by way of an individuals personal resources. There was no such thing as health insurance and certainly not health insurance paid by an employer. Except for the very destitute who were lucky to find their way into a charity hospital, health care costs were the responsibility of the individual.

What does health care insurance have to do with health care costs? Its impact on health care costs has been, and remains to this day, absolutely enormous. When health insurance for individuals and families emerged as a means for corporations to escape wage freezes and to attract and retain employees after World War II, almost overnight a great pool of money became available to pay for health care. Money, as a result of the availability of billions of dollars from health insurance pools, encouraged an innovative America to increase medical research efforts. More Americans became insured not only through private, employer sponsored health insurance but through increased government funding that created Medicare and Medicaid (1965). In addition funding became available for expanded veterans health care benefits. Finding a cure for almost anything has consequently become very lucrative. This is also the primary reason for the vast array of treatments we have available today.

I do not wish to convey that medical innovations are a bad thing. Think of the tens of millions of lives that have been saved, extended, enhanced and made more productive as a result. But with a funding source grown to its current magnitude (hundreds of billions of dollars annually) upward pressure on health care costs are inevitable. Doctor's offer and most of us demand and get access to the latest available health care technology in the form of pharmaceuticals, medical devices, diagnostic tools and surgical procedures. So the result is that there is more health care to spend our money on and until very recently most of us were insured and the costs were largely covered by a third-party (government, employers). Add an insatiable and unrealistic public demand for access and treatment and we have the "perfect storm" for higher and h

 

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  2621) arendghn aus arendghn schrieb am 14.November 2017 um 15:36 Uhr:
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  2620) Croceerbgen aus Croceerbgen schrieb am 14.November 2017 um 15:04 Uhr:
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I think we are leaning towards a new unit as well. Faulty compressor clutch relay. Ac Repairmen Note—on the furnace in the attic there is a switch that must be engaged for unit to start. How can I reduce my energy costs?

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  2619) Croceerbgen aus Croceerbgen schrieb am 13.November 2017 um 03:51 Uhr:
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Has anyone had any luck in getting Goodman to cover the evaporator coil labor costs? Aluminum Condenser Coil Repair I did a work order to fix my ac unit because it stopped working.

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  2618) Croceerbgen aus Croceerbgen schrieb am 11.November 2017 um 23:17 Uhr:
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Run cap visually looks great no bulges. Also the contactor in the outside unit may be faulty and not picking up. http://wekiwa-springs.acseminole.review/map35.php The AC is working now. Monday — Friday appointments only during normal business hours.

 

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  2617) PhilipDog aus PhilipDog schrieb am 8.November 2017 um 06:14 Uhr:
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  2616) wethirmfleerm aus wethirmfleerm schrieb am 31.Oktober 2017 um 16:19 Uhr:
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  2615) WalterTrava aus WalterTrava schrieb am 29.Oktober 2017 um 20:59 Uhr:
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  2614) ErnestFrisa aus ErnestFrisa schrieb am 29.Oktober 2017 um 13:44 Uhr:
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  2613) Eddiemot aus Eddiemot schrieb am 22.Oktober 2017 um 00:30 Uhr:
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  2612) priscillapi60 aus priscillapi60 schrieb am 20.Oktober 2017 um 13:45 Uhr:
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  2610) telewrqj aus telewrqj schrieb am 16.Oktober 2017 um 16:36 Uhr:
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  2609) JamesCat aus JamesCat schrieb am 15.Oktober 2017 um 10:50 Uhr:
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