US Senate introduces diabetes care act - Page 3

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US Senate introduces diabetes care act - Page 3


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Old 08-03-2012, 20:15   #21
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It doesn't matter who is on the panel, because there is no right person to manage your health except you and the people you choose. You see they will bring on self proclaimed experts who supposedly have the knowledge they need, but they don't realize that the more removed you are from each individual's situation, the worse your knowledge of how to treat them gets. That's why the USSR could never feed its citizens despite having droves of 'experts' and 'planners' telling them how exactly many people there were and how much and what kind of food each one of them needed. They ended up with fallow fields, tons of tractors rotting in the rain, shortages, bread lines, and starvation.
I strongly disagree with you. The composition of the panel is central to the outcome and effectiveness of the panel. If they use primary medical records (oh where is the national electronic medical record database when you need it?) as an indicator of successful outcome, then dietary control might raise it's head as a cost-effective measure for treatment AND prevention for large cohorts whereas insulin therapy might be indicated as more successful in complication prevention than "drugs". The right folks in place would push for that, including Insurance leaders, but Pharma leaders or others that they influence would clearly steer the group in another direction.

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Old 08-03-2012, 20:30   #22
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I strongly disagree with you. The composition of the panel is central to the outcome and effectiveness of the panel.
The composition of the panel is irrelevant; the incentive structure of the panel and their near complete divorce from the real every day needs of the people with this disease will ensure it will fail regardless of who is on the panel.

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The right folks in place would push for that, including Insurance leaders, but Pharma leaders or others that they influence would clearly steer the group in another direction.
That's the conceit of every such attempt to plan such things in the history of the planet. They have all stalled or failed, and all have claimed that it was merely because of a shortfall of funds and/or authority, and the 'wrong people' being in charge. This will be no different. They will not ask, they will dictate. They will not interact, they will impose. And when they fail, they will blame us and not their own incompetence.

With just a little more money and if people would 'get serious' and give them the authority they need, then the government will finally wipe out all illicit drugs. With just a little more money and authority, they'll make all the airplanes safe and kill all the terrorists. With just a little more money and authority, they'll give everyone 'free' healthcare. With just a little more money and authority, all FDA approved drugs will actually be safe instead of killing thousands of people a year. With just a little more money and...

Sorry, I don't buy it. Haven't for a long time. Because there's only one end to that argument which is to end up giving all the money and all the authority to the 'right people', and then all of a sudden everything will be great and they'll solve all our problems. Except every time that's been tried, or imposed on people, it mysteriously hasn't worked out. Oddly enough, the people who get all the money and power end up with... all the money and power, and the rest of us get nothing.

So, ten or twenty years from now this won't be some advisory board. It'll be the Bureau of Diabetic Affairs and Treatment, have a massive staff and budget which will curiously never be enough to cover their costs, and the population of people with diabetes will be higher if not skyrocketing, and all their attempts at treatment, some of which will be mandated at that point through various means or strong 'incentives', will at best help a few while the rest of us get to see our health go to hell.

Curiously, you didn't need a government approve bureaucrat to tell you diet control was a viable option; you found out yourself. And judging by the sheer number of posts in here on the topic it is in fact the government approved bureaucrats called 'doctors' who are as often as not the obstacle stopping people from finding better treatment methods. So, the solution to make things better is to take a group of people who are terminally screwing up, and who have questionable priorities seeing as how their patients aren't their real source of income, and put them in charge?

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Old 08-03-2012, 22:44   #23
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The composition of the panel is irrelevant; the incentive structure of the panel and their near complete divorce from the real every day needs of the people with this disease will ensure it will fail regardless of who is on the panel.

That's the conceit of every such attempt to plan such things in the history of the planet. They have all stalled or failed, and all have claimed that it was merely because of a shortfall of funds and/or authority, and the 'wrong people' being in charge. This will be no different. They will not ask, they will dictate. They will not interact, they will impose. And when they fail, they will blame us and not their own incompetence.

With just a little more money and if people would 'get serious' and give them the authority they need, then the government will finally wipe out all illicit drugs. With just a little more money and authority, they'll make all the airplanes safe and kill all the terrorists. With just a little more money and authority, they'll give everyone 'free' healthcare. With just a little more money and authority, all FDA approved drugs will actually be safe instead of killing thousands of people a year. With just a little more money and...

Sorry, I don't buy it. Haven't for a long time. Because there's only one end to that argument which is to end up giving all the money and all the authority to the 'right people', and then all of a sudden everything will be great and they'll solve all our problems. Except every time that's been tried, or imposed on people, it mysteriously hasn't worked out. Oddly enough, the people who get all the money and power end up with... all the money and power, and the rest of us get nothing.

So, ten or twenty years from now this won't be some advisory board. It'll be the Bureau of Diabetic Affairs and Treatment, have a massive staff and budget which will curiously never be enough to cover their costs, and the population of people with diabetes will be higher if not skyrocketing, and all their attempts at treatment, some of which will be mandated at that point through various means or strong 'incentives', will at best help a few while the rest of us get to see our health go to hell.

Curiously, you didn't need a government approve bureaucrat to tell you diet control was a viable option; you found out yourself. And judging by the sheer number of posts in here on the topic it is in fact the government approved bureaucrats called 'doctors' who are as often as not the obstacle stopping people from finding better treatment methods. So, the solution to make things better is to take a group of people who are terminally screwing up, and who have questionable priorities seeing as how their patients aren't their real source of income, and put them in charge?
You've made your point several times over, and I think you've said enough. If you want political discussion, there are thousands of forums online for that very purpose. We will have civility here or else.




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Old 08-04-2012, 13:12   #24
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I regret posting this article now; I didn't think that it would inspire such a strong political discussion...

Mostly I was interested in the admission that the current "plan of attack" for diabetes treatment in the US isn't working and was hopeful that people like us would get a voice. We'll see!

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Old 08-04-2012, 13:19   #25
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I regret posting this article now; I didn't think that it would inspire such a strong political discussion...

Mostly I was interested in the admission that the current "plan of attack" for diabetes treatment in the US isn't working and was hopeful that people like us would get a voice. We'll see!
You shouldn't feel that way. As I said before I'm glad you posted it since I didn't know the panel was being created.

All you did was tell us something, something which I think is very important. What someone does with or makes of that information is up to the individual.

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Old 08-04-2012, 23:21   #26
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Daytona, David Burke is right. I appreciated finding the link which is one of the more confusing articles.

For your information here are a few more links.
New Diabetes Legislation Introduced in the U.S. Senate

Medscape: Medscape Access

Another blogger has written a blog about this here - July 2012 Type 2 Diabetes Blog

It is unfortunate that from a patient standpoint, we will only be represented by patient advocates. I am not totally satisfied with the representation that will potentially be on the Commission. The good thing is that it will probably not pass until after the new year. In the meantime, I am corresponding with my Congressional people to see what is possible to include an actual patient or two.

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Old 08-05-2012, 06:31   #27
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And let's hope it is not a couple of patients happy with ADAs current guidelines.

Sent to Diabetes Forum from my iPhone

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Old 08-07-2012, 16:03   #28
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It is unfortunate that from a patient standpoint, we will only be represented by patient advocates. ... I am corresponding with my Congressional people to see what is possible to include an actual patient or two.
I don't think "a patient or two" would be helpful, but I agree with you that "patient advocate" is not good either. If the objective is to increase awareness that diet; specifically low carb, is a good and cost-effective approach, then this should be evident in the records. We all have records in physicians offices indicating dx, status as controlled by diet (and some meds). The dietary component should stand out when compared to groups controlled by meds alone, particularly with respect to long-term complications. The analysis needs to be done at a national level and should be either commissioned by the commission or the results should at least be a significant driving force during the deliberations.

Anyway, my comments passed administrative scrutiny and are now on the original site.

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Old 08-07-2012, 19:16   #29
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Anyway, my comments passed administrative scrutiny and are now on the original site.
Excellent! You did better than I . . . I expect I was a little too militant!




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Old 03-20-2013, 19:41   #30
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Name one problem they have solved? There's no incentive for them to solve any problem. What will those people do if, say by some circumstance, they discover a cure for diabetes? will they give up their comfortable salaries and lifetime appointments and appearances on Sunday House Call or other similar segments, along with the perceived authority that comes with all that? No. They will do what they always do; decide on a solution while being as completely divorced from the actual problem as it's possible to be, define that as success, and then take a series of endless steps and measures that will never quite get them there. And, like the church, they'll always need more money.

The solution is what's happening here; people who succeed sharing strategies and information with each other.
They allowed banks to destroy our economy then took our money to pay back the banks, that, and they allowed lobbyists to destroy our health by allowing HFCS to be put in most food, some that didn't even need to be sweetened. oh, wait, did you say what did the US senate solve? their salary increases. that's about it, as it was their number one agenda before taking a 3 month short vacation.

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