
It turns out that Senate candidate Sue Lowden (R-NV) is not the only politician out there who has promoted the idea of the barter system as part of health care. Yet another pro-barter Republican, state Rep. Mike Bell (R-TN), has been talking up the practices of Mennonites who pay doctors with vegetables.
Bell's made his comments last week, during discussion of a proposed state law that would attempt to nullify the federal health care insurance mandate in the state of Tennessee. Here is a transcript of a dialogue in committee between Bell and Democratic state Rep. Joe Towns, courtesy of the Nashville Scene, as Bell explained that many people get along without insurance:
Bell: They're some of the healthiest people you have ever seen. They pay cash when they go to the doctor. They work out arrangements with the hospitals if their children have to be hospitalized. This is an individual choice that we're talking about.
Towns: You're saying they pay cash? For organ transplants and cancer and heart cases, they pay cash?
Bell: I said they pay cash or work out other arrangements. I know for a fact. I know someone in the medical field who has been paid with vegetables from the Mennonite community.
Towns: That's an anomaly. That's not how the system works. I can't take a sack of vegetables down to the utility company and pay my utility bill on my house. Nobody's going to take vegetables for payment. We can't run the country on vegetables and horse trading.
The GOP has been struggling to find a coherent strategy for how to address the new health care law. The official slogan is "Repeal and Replace," but there is in fact division over whether to fully repeal the law, and just how far to go. And it appears that some people may want to go all the way back to the 18th and 19th centuries.
chimpale
April 22, 2010 3:05 PM
Isn't that great. Sue Lowden has made it safe for all ignorant, out-of-touch Republicans to come out and show themselves. They can put their abject ignorance on full display and parade it around proudly.
Come on out now the rest of you. Don't be shy.
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benintn
April 22, 2010 4:32 PM in reply to chimpale
Well, I wouldn't call it "ignorance" - but the barter system is considered unethical in many medical practices and there are some serious ethical questions raised by it.
Mike Bell is right that in some rural communities, barter is more accepted. In fact, I know a psychotherapist in Murfreesboro (the district Bell represents) that allows this practice.
Some rural folks would feel insulted by the claim that they're "ignorant" because they have different economic standards. This would be akin to calling Native Americans "ignorant" because they engage in tribal customs.
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Redshift
April 22, 2010 4:43 PM in reply to benintn
Who's calling rural people ignorant? There is no such statement in the comment you're replying to; it specifically referred to Republican lawmakers who think a reasonable way to address health care costs is for everyone to barter.
Why aren't all of these wingnut bozos being asked if they barter and pay cash for their family's healthcare? And if not, why not? If it's not good enough for them, why should it be good enough for the rest of us?
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SkepticRising
April 22, 2010 4:52 PM in reply to benintn
chimpale didn't say that rural people who use barter are ignorant, but rather that right wing politicians are ignorant who seriously suggest that a clearly unworkable and inefficient compensation system could have any impact on health care costs in a nation of 300 million people. And if they are not ignorant, they are maliciously dishonest. And anyone with a rudimentary grasp of high school economics knows this.
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chimpale
April 22, 2010 5:26 PM in reply to SkepticRising
No, in fact, I strongly encourage bartering where practicable. But, the last time I went to the doctor's office was for a follow-up blood test a couple of months after my physical. Who in the lab would I be bartering with? Should I have called ahead to see what they'd be willing to take in trade for the blood work? I don't think the supplies belong to the technicians, so I'd probably be bartering with them for labor only.
A few weeks before that I had a colonoscopy done. Seriously, what would I barter? Maybe the doctor was into jazz. I suppose I could bring in a bunch of my jazz CDs and see if he'd take those as payment.
Most people only have to think about this stuff for a few minutes before they see how ridiculous the suggestion is that we barter for our health care. Those who can't, I would say, are ignorant of the reality of the situation. Or else, maybe they just aren't able to think it through, in which case I want them to stay far away from public office.
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mophan
April 23, 2010 12:31 AM in reply to chimpale
Not to mention the ridiculous suggestion that...
How is wanting my child to be hospitalized a choice? So, if my child is needing an appendectomy, I have the choice of my child being treated at a hospital and living, or staying home with their family and dying? Is this the choice this a$$hole is talking about? How ridiculous is that?
Yes, I'm feeling more like a responsible American everyday I hear the idiotic rhetoric coming from the nutwing of the Republican party.
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seanman01
April 23, 2010 8:40 AM in reply to mophan
I really think this is a losing strategy; it's too late and too deep to pretend these nutjobs "meant" something else or misspoke. ("It was taken out of context by the LIBERAL media!!")
I love it!
Between Strip-Club Steele, Death Panel Sarah, Militia Michelle and the rest of the zany gang, this could add up to big Dem gains! (Though, for some perspective, McCain/Palin managed 173 electoral college votes, so...get out the vote!)
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Mary Alice
April 22, 2010 7:34 PM in reply to benintn
How does he pay his electric and water bills? Does Tennessee have a chart to help him? What does the IRS have to say about this? The mind boggles.
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JNagarya
April 22, 2010 8:15 PM in reply to chimpale
Let 'em try it! Then we can sue on the grounds that it's unconstitutional!
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mans_best_friend
April 22, 2010 3:07 PM
The caption on this picture is even better than the one with Lowden and the chicken, but I think there may be a mismatch between the order of the pictures and the caption. At least I think so. I'm not entirely sure.
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George C
April 22, 2010 3:29 PM in reply to mans_best_friend
No, I think the caption's right.
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EnnuiDivine
April 22, 2010 3:46 PM in reply to George C
at least in terms of ascending order of intelligence.
I'll grant that Mike Bell is smarter than a basket of farm fresh produce. But the chicken's got the edge on him in critical thinking skills.
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SchoolyT
April 22, 2010 4:31 PM in reply to EnnuiDivine
The vegetables look rotten and Mike Bell has some artificial coloring. Or maybe he was imported from Chile over the winter.
How many morning glory seeds does a months supply of lunesta go for?
So HC providers will spend how much of their time "negotiating" rather than treating patients?
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mans_best_friend
April 22, 2010 4:46 PM in reply to SchoolyT
I thought Mike Bell looked rotten and the vegetables had artificial coloring. Hence my initial confusion.
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SchoolyT
April 22, 2010 8:45 PM in reply to mans_best_friend
Doh, you're right. I was going with the order of the items in the caption ;)
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mophan
April 23, 2010 12:43 AM in reply to SchoolyT
Another valid point you bring up...
Imagine the amount of overhead private practices must incur if this alternative reality for medical treatment ever occurs! How ever are the doctor offices to handle to deluge of patients calling to negotiate treatment!
This would require a dramatic increase in those qualified in the art of medieval bartering techniques, which would lead to an increase of chicken and fruits a doctor must charge per patient. The added staff are entitled to a living as well, are they not?
Heavens forbid doctors add on the cost of veterinary visits and the upkeep of perishable payments to the treatment of patients. We are talking major price increases here.
Don't want to be reincarnated as a domesticated animal any time soon!
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ZeraLee
April 22, 2010 5:31 PM in reply to George C
I think the caption sounds like a Johnny Carson routine. As do the Veggie Tale Republicans.
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PartTimeRoadie
April 22, 2010 3:08 PM
The whole argument either ignores, or is ignorant, of the fact that there is more being paid for than just the Dr's time. If you have someone in a small private practice, ya, you can probably barter for their time. I'm an IT expert, and can, and have, used my skills as barter in a number of situations (not healthcare however). But the instant tests need to be ordered, samples sent out, meds prescribed, or MRI's performed, all of a sudden, that chicken isn't going to be very effective.
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loria
April 22, 2010 4:08 PM in reply to PartTimeRoadie
You are absolutely right. Plus, you also have to wonder how many times a doctor needs their house painted and how many chickens they really want. I would imagine IT skills come in handy when bartering, but even so, there is a limit to the IT needs. How many doctors really want to barter? Why would they? They like and need cash just like the rest of us.
Being a doctor probably requires more education and results in more debt than most every other profession. But, somehow the GOP has reduced their knowledge and skills to a level where they should be accepting chicken and vegetables for their services. I wonder how many of these Congressmen would like to be paid in chickens, cows, vegetables, etc. I don't see them giving up their taxpayer funded health insurance and trying to institute a barter system with their doctors.
These people are so far out of touch with the real world, it is hard to imagine how they could possibly get any votes.
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inniss326
April 22, 2010 3:12 PM
Is this the GOP solution to fixing medicare....Seniors will supplement the cost of medical care with farm commodities?
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susanthe
April 22, 2010 3:15 PM
Does this mean that now we're all eligible for farm subsidies?
I wonder how many zucchini it would take to pay for neurosurgery - and how many radishes a doctor would need for a student loan payment.
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loria
April 22, 2010 4:10 PM in reply to susanthe
There's the question. Will the banks that own their student loans accept vegetables and chickens as a monthly loan payment?
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benintn
April 22, 2010 4:34 PM in reply to loria
Maybe I could just donate bodily fluids...
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bluestatedon
April 22, 2010 3:15 PM
The very fact that Republican politicians are even suggesting in apparent seriousness that barter and bargaining are meaningful solutions to our health care problems is an indication of how far down the crazy road the GOP has driven. It's as though they've been swallowed whole by the John Birch Society.
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davcbr
April 22, 2010 3:17 PM
And what if your doctor doesn't like turnips?
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EnnuiDivine
April 22, 2010 3:56 PM in reply to davcbr
Counter with a bushel of parsnips. Or maybe a nice stalk of celery.
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loria
April 22, 2010 4:11 PM in reply to EnnuiDivine
I have a 1996 Saturn with no air conditioning. I wonder how much medical care I can get with that.
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Cornelius
April 22, 2010 4:38 PM in reply to loria
Can't get much medical care w/o the AC Loria, but get down to Auto Zone pronto, get ya some freon, put it in the Saturn when the local guber stops by("shucks, that some cool AC you got Mamn"), get the cash and make that appointment for the butt implant you been dreaming about all these years.
BTW, for the initial blood work about 200 lbs of summer squash should cover the bill. Good luck!
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bluestatedon
April 22, 2010 3:18 PM
This is actually very good for those Americans who are ovo-lacto vegetarians. To require that people who don't believe in raising animals for meat carry around a coop of chickens for payment is unfair in the extreme. Allowing them to carry around huge bins of carrots and zucchinis is a perfect solution.
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stillidealistic
April 22, 2010 3:18 PM
Makes me want to run out and get a medical degree! Wonder if the banks will accept chickens and vegetables for payment of student loans?
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draftedin68
April 22, 2010 3:21 PM
Who needs a doctor?
Chicken... vegetables... Hmmm...
Add some water, herbs, spices and cook thoroughly and you got Chicken Soup!
Oh, don't forget that daily apple.
Mmmm-mmmm! My kinda healthcare!
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wpamos
April 22, 2010 5:27 PM in reply to draftedin68
I'm coming to your house for all my health care needs!
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bvd
April 22, 2010 3:24 PM
"They work out arrangements with the hospitals if their children have to be hospitalized."
Yes, and then they don't pay when the hospital sends them the actual bill. And then the government pays it. And then the deficit goes up. And then goobers like you say we should have a barter system. Because you know people who work out arrangements with hospitals...
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dal
April 22, 2010 3:24 PM
I effing knew it! They're anarchists!
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PurpleAvenger
April 22, 2010 3:25 PM
It seems to me that the problem here isn't the idea of barter - I know progressive local activists who love that paradigm - it's that it won't work because most doctors, and even more so hospitals, aren't going to accept that as payment. How 'bout TPM going out and interviewing docs & hospitals to get THEIR reaction to this . . .
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rynato
April 22, 2010 3:29 PM in reply to PurpleAvenger
yeah, that was exactly my thought. Have they asked any actual doctors what they think of this?
And how does this address in any way whatsoever the issue of health care cost inflation? So instead of paying $10,000 for my hospital bill... how many chickens is that? I can't believe a live chicken is worth more than $2 or $3 a head.
And if you live in an apartment... how do you raise chickens or grow vegetables?
That these people are even viable candidates for public office, shows how much the electorate has been dumbed down.
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MollyNYC
April 22, 2010 6:33 PM in reply to rynato
Yeah, out of the plethora of idiotic assumptions built into the "farm products for health care" model is the one where we're all living on farms.
It kind of goes with that GOP belief that cities (as Atrios might put it) are these urban hell-holes filled with dirty hippies, while rural areas are all rolling farmland populated by the GOP's peeps: Ma and Pa Kettle, Rebecca of Sunnybrook Farm, and the cast of Hee-Haw.
It's also attached to that belief 'wingnuts all have--that they're not being utterly unrealistic, because there was some wonderful era in the past when everything was like their fantasies.
My late grandfather was born in a farm town in Idaho in 1910. It's quite possible that as a boy, whatever town doctor they had there did accept produce and meat and such as payment (and was probably trained by men who to whom the germ theory of disease was considered controversial). As of now, that town's nearest hospital is about two towns away and is mostly paid through Medicare--and that's how my grandfather, the former farmboy, paid for his medical needs.
Lady, there ain't no chickens. Haven't been for almost a century.
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MollyNYC
April 22, 2010 6:44 PM in reply to MollyNYC
It's quite possible that as a boy, whatever town doctor they had there . . .
I mean, when my grandfather was a boy, not the doctor.
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rbeats
April 22, 2010 3:27 PM
So can I donate to both of their campaigns with a promise to give them a music lesson in the next 3 years?
Fair trade I think.
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George C
April 22, 2010 3:34 PM in reply to rbeats
That's it! Everyone make a political contribution to these clowns by sending a live chicken!
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KenInTenn
April 22, 2010 10:31 PM in reply to George C
I'm kinda short this month. I could only afford a drumstick.
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rhallnj
April 22, 2010 3:29 PM
And young women can presumably barter their bodies in this new system.
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larmar
April 22, 2010 3:32 PM
What's next? A health care bartering exchange on Craig's list?
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rynato
April 22, 2010 3:34 PM in reply to larmar
You jest, but I bet that's next.
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spork_incident
April 22, 2010 4:01 PM in reply to larmar
A health care bartering exchange on Craig's list?
Way ahead of you.
.
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benintn
April 22, 2010 4:39 PM in reply to spork_incident
I was gonna say - this has been on the rise for quite a while, actually.
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mans_best_friend
April 22, 2010 3:36 PM
You wonder what kind of people think like this. Then you see an article like this one on CNN.
http://money.cnn.com/galleries/2010/news/1004/gallery.dont_want_health_insurance/index.html
Warning: Your IQ will drop by 3 points reading this.
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Matt Jones
April 22, 2010 4:38 PM in reply to mans_best_friend
My favorite on that "article" was that at least a 3 of the people (out of 7 or so) that they interviewed were going to be eligible for Medicare by the time the mandate actually kicks in. I also wondered how those same people would handle the bill if they got seriously ill *today* - a payment plan for a $300k medical bill would run longer than they can reasonably expect to live...
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mans_best_friend
April 22, 2010 4:50 PM in reply to Matt Jones
I liked the guy who decided he didn't need to buy insurance now, because if he got sick, the ban on pre-existing condition exclusion meant he could buy insurance later. He completely missed the connection between mandated coverage and pre-exiting condition exclusion. And this guy was...wait for it...an INSURANCE BROKER.
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Kuyleh
April 22, 2010 9:09 PM in reply to mans_best_friend
That lady that said she wouldn't pay the penalty was a freaking hoot. I'll lay money she doesn't have half a clue what the bill actually says...We'll see her on Faux News in a couple years threatening the IRS because they took the penalty she bragged she wouldn't pay out of her tax return without even telling her.
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willia451
April 22, 2010 3:45 PM
People should actually start doing this. Bring produce and live farm animals into healthcare clinics and emergency rooms, demanding services.
When challenged, refer the healthcare institution to the national and state RNCs; whose members and candidates are suggesting the practices.
Talk about a hoot!!
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The Commenter Formerly Known as NCSteve
April 22, 2010 3:48 PM in reply to willia451
I think everyone should offer to donate their excess zuchini to the local GOP this summer in lieu of cash contributions.
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The Commenter Formerly Known as NCSteve
April 22, 2010 3:46 PM
It's fun making fun of them, but don't miss the real message. They think the whole system would work better-prices would drop, people would be healthier--if we got away from this whole socialistic smelling "insurance" concept and moved to paying cash. The Nevada GOP said so in as many words in its attempt to defend Suzie the Chicken Trader.
It's just another manifestation mindset that caused them to be so mystified and derisive of the failure of "those people" trapped in the King Dome to just throw some bottled water in their Lexus SUV and drive to safety before Katrina hit.
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mans_best_friend
April 22, 2010 3:54 PM in reply to The Commenter Formerly Known as NCSteve
Shorter version: Paying cash works out a lot better for those with lots of cash. Everyone else, not so much.
These are the direct descendants of those who argued for maintaining the gold standard in the 1890's.
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The Commenter Formerly Known as NCSteve
April 22, 2010 4:09 PM in reply to mans_best_friend
Are you the one who had the "you shall not crucify labor on this Cross of chickens" quote yesterday?
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mans_best_friend
April 22, 2010 4:15 PM in reply to The Commenter Formerly Known as NCSteve
No, but I wish I'd thought of it.
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SchrodingersCat
April 22, 2010 7:43 PM in reply to The Commenter Formerly Known as NCSteve
I don't know who it was, but they totally win the internets. That's hilarious.
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willia451
April 22, 2010 4:11 PM in reply to mans_best_friend
Yes. You're right. You nailed it.
Even the people that natually WANT to support these candidates are having a hard time figuring them out.
Its like that woman relating to Lowden about healthcare providers not even wanting to let you in the door without "The Card" (insurance card that is).
Lowden's response?
Cash or Barter may be a good option for you.
Cash or Barter???? WTF?
She might have well have said,
"I'm sorry your a poor fuck that can't afford health insurance. But how is that MY fucking problem? Or the governments? Scrap up the cash somehow. Pray the healthcare provider your working with will Barter. Or just go without. Fool. Now shut the fuck up."
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CT Voter
April 22, 2010 4:09 PM in reply to The Commenter Formerly Known as NCSteve
That may be, but the "chickens for checkups" label is just so ludicrous that this may get lost in the telling. BTW, is that you over at Plumline?
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The Commenter Formerly Known as NCSteve
April 22, 2010 5:40 PM in reply to CT Voter
Yeah, that's me. Just took advantage of the opportunity to shed the baggage I acquired when I couldn't get my old account here to work after a commenting system switch.
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CT Voter
April 22, 2010 5:54 PM in reply to The Commenter Formerly Known as NCSteve
Thought so. You make me laugh more than any other commenter. . .
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zuch
April 22, 2010 3:48 PM
I'm waiting for MRI scans and hip-replacement surgery to show up on Ebay.
And I'm waiting on Ebay to start allowing bids to be made in chickens or pig's feet.
Cheers,
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jeffgee
April 22, 2010 3:57 PM
I can think of some vegetable products that would pay well.
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benintn
April 22, 2010 4:35 PM in reply to jeffgee
If God made it grow from the ground, it can't possibly be bad for you!
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calbearinillinois
April 22, 2010 4:05 PM
Mennonites and Amish won't get insurance, but they also pool their resources to pay for healthcare (eek, socialism) when they can. Amish and Mennonite communities, because of their small genetic pools, have a ton of serious medical problems - but oftentimes researchers pick up the tab for some of their care in return for access/consent to be studied. So again, a really exceptional case.
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mass_murdock
April 22, 2010 4:13 PM
The beef industry lobby needs to get in on this right away, they're getting squeezed out.
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mans_best_friend
April 22, 2010 4:18 PM in reply to mass_murdock
LOL. These are some of the funniest threads I've ever seen.
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bdh
April 22, 2010 4:35 PM in reply to mass_murdock
BARTIR MOR CHIKIN
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benintn
April 22, 2010 4:37 PM
I'm a healthcare professional. This whole thing brings 'working for peanuts' to a new level.
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ejg3
April 22, 2010 4:46 PM
I suspect that in Tennessee some of the agricultural products will be delivered after a process of distillation less revenue stamps attached.
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elmoor
April 22, 2010 4:51 PM
42 million people are currently using that 'no insurance' approach, leaving them with no choice but to use cash.
It's working just swell.
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AlwaysAskWHY
April 22, 2010 5:03 PM
QUESTION FOR THE DAY: HOW MANY CHICKENS DOES IT TAKE TO PAY FOR CHEMO?
Randi Rhodes ( http://www.randirhodes.com/index.html ), last night, asked a caller, who agreed with bartering with doctors, if the doctors can take that chicken to the power company and pay his/her bill. The woman just stuttered and stammered... didn't have an answer. I'll bet the insurance companies won't take a chicken for those doctors' MALPRACTICE INSURANCE.
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DanF
April 22, 2010 5:16 PM in reply to AlwaysAskWHY
Funny - I was just sitting here wondering how many chickens I would have needed to cover my wife's last MRI. Who really needs $2000 worth of chicken? That's like 800 pounds of chicken per patient.
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runfastandwin
April 22, 2010 5:06 PM
Aren't the Mennonites and Amish those people who refuse to drive cars or use electricity? At least Assemblyman Towns called this peabrain on his BS.
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PSzymeczek
April 22, 2010 5:34 PM in reply to runfastandwin
The Amish and the Old Order Mennonites won't own cars, phones, or electricity/indoor plumbing. That doesn't mean they won't get rides from form people who do. There are some groups of Amish who use electricity from generators, batteries, or solar. There are groups of Mennonites of varying levels of modernity; what used to be called General Conference Mennonites use a full range of modern convenieniences.
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tgh86
April 22, 2010 5:10 PM
I wonder how they feel about turning tricks for care. Or bartering with dimebags. Whole hog or none, huh?
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AlwaysAskWHY
April 22, 2010 5:10 PM
Maybe the reason 45,000 PEOPLE WHO DIE EACH YEAR BECAUSE OF LACK OF ACCESS... actually had a lack of chickens and parsnips!
http://www.harvardscience.harvard.edu/medicine-health/articles/new-study-finds-45000-deaths-annually-linked-lack-health-coverage
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Sailormarlowe
April 22, 2010 5:20 PM
Republican hotties like Sweet Sue, Sexy Sarah, & Marvelous Michele always get the limpo lefties chirping & chattering. Yeahhh, baby! Let the lovely ladies lead us!
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mans_best_friend
April 22, 2010 5:50 PM in reply to Sailormarlowe
Typing with one hand again?
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Kuyleh
April 22, 2010 9:01 PM in reply to Sailormarlowe
I wish they'd lead you off a goddamn cliff. There isn't anyone on this planet that would miss you, and we're way overstocked on negative IQ wankers as is.
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kevbo
April 22, 2010 5:24 PM
Let me explain why this is a bad idea in terms that republicans can understand:
-People who get Social Security, WIC, etc. can use those payments to buy chicken and vegetables.
-If they can get doctors to accept chicken and vegetables as payment, then they could conceivably pay for an abortion that way. GOVERNMENT FUNDED ABORTION, OH NOES!!!!11111ONE NO ROOSTERS FOR ROTO-ROOTERS!
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Jackster
April 22, 2010 5:49 PM
I'm building a silo, gonna fill it up with corn instead of funding a health savings account.
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loria
April 22, 2010 8:16 PM in reply to Jackster
Good idea. I'd try it too, but I think a silo is against my hoa rules.
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Speedy
April 22, 2010 5:53 PM
Yet further proof that the GOP wants to roll back the clock to 1860. How long will it be before one of them suggests treating ourselves at home by bloodletting with leeches?
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rynato
April 22, 2010 6:14 PM in reply to Speedy
Well, it sure would take care of the poverty problem...
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sully18
April 22, 2010 6:18 PM
Since I live in the city,veggies and chicken do not seem to be a viable option.What about rats? Or the little varmints who eat my veggies, especially the tomatoes in my garden? Squirrels.They are essentially tree rats.How many rats for a cardiac bi-pass?
Insurance companies won`t go for it; they have plenty of rats.
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Cornelius
April 22, 2010 7:05 PM in reply to sully18
was thinking cockroaches - but no so good.
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runfastandwin
April 22, 2010 8:26 PM in reply to sully18
Pigeons, actually when you buy a "cornish game hen" it's really a pigeon...
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jsdc007
April 22, 2010 6:56 PM
Some people pay for healthcare in vegetables.
While certain Republicans from Nevada and Tennessee ARE vegetables.
Enough said.
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Sexxybeast1973
April 22, 2010 8:02 PM
This is great!!;) dumb gopers are doubling down on their "health care plan" we need people in chicken and Assorted fruit and vegetable outfits at these peoples campaign events!!
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plaidsportcoat
April 23, 2010 2:06 AM in reply to Sexxybeast1973
They need to succeed to Barterstan
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Texas Aggie
April 22, 2010 8:51 PM
I remember my dad talking about how during the Depression they used to pay the grocery store in eggs, they and everyone else. The grocer ended up with a bunch of eggs that he had no use for and couldn't sell because his suppliers wouldn't take week old eggs as payment for their flour, crackers, sugar, etc.
Then there was, maybe still is, a factory in Kosovo that makes ketchup from the tomatoes that local farmers grow. Instead of paying them in cash, they pay them in bottles of ketchup so you see farmers along the road trying to sell their ketchup. It didn't seem to be a good idea.
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ZeraLee
April 22, 2010 10:37 PM
Barter? Let me think about this...
Chicken tenders as legal Tender?
There is an exemption in HCR for those who do not participate in modern medicine for religious reasons, as in the case of the Amish.
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pstamler
April 23, 2010 1:00 AM
Here's the thing, to get serious for a moment. Paying for medical care by bartering made sense once. Back when doctors were individual practitioners, made house calls, and charged about the value of a chicken for an office visit, and when individual doctors provided most of the health care there was, it was a practical proposition, especially in small towns and rural areas. My grandfather, a dentist in a small New Jersey town, sometimes was paid in chickens or vegetables, by people who had a lot of chickens and vegetables around.
In a world of MRIs, chemo, hospitals that charge $35.00 to bring you two aspirin tablets, hip replacements, etc., not to mention a nation of doctors whose fees for services rendered are the highest in the the world, it of course makes no sense. But much of the appeal of folks like the Tea Partiers and conservative Republicans, going back to Ronald Reagan, is the vision of a mythical golden age when *everybody* lived in small towns and looked like they belonged in Norman Rockwell paintings. That this golden age owes more to the myth-making abilities of the Russian-Jewish immigrants who created the major movie studios of the 1930s (see Gabler's "An Empire of Their Own" for a fascinating discussion of this story) than to anything resembling reality is neither here nor there. It's a compelling myth that has kept reactionaries in power for decades.
Peace,
Paul
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plaidsportcoat
April 23, 2010 2:01 AM
let's send these people vegetables to their campaign committees, too
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Heretic
April 23, 2010 5:10 PM
Bartering is all well and good in a pre-industrial economy, where all members of the community are involved in either providing a personal service or product (butcher, baker, candlestick maker, cobbler, cooper, blacksmith, farmer, etc.). However, in modern America, the only people who actually have work product to trade are the self-employed, small business owners, and family farmers. While there are a fair number of such folks, it still leaves the majority of Americans with no access to medical care. I have actually been a member of barter networks at times in my life when I had personal services to offer (healthcare, actually). I can tell you that, while such networks have plenty of members offering alternative services like chiropractic, acupuncture, etc., they have virtually none offering radiology, surgery, etc. I suppose if there was no such thing as insurance at all, this might change, but as long as insurance is still the norm for 85% of the population, most folks will not be able to barter for such services regardless of how many chickens they have. And don't even get me started on whether the drug companies will take chickens for lipitor. Maybe if there were stronger environmental regs in red states, these poor saps wouldn't be growing up to be the mental defectives who come up with such ideas.
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Tosh
June 6, 2010 2:49 AM
You are absolutely right. Plus, you also have to wonder how many times a doctor needs their house painted and how many chickens they really want. I would imagine IT skills come in handy when bartering, but even so, there is a limit to the IT needs. How many doctors really want to barter? Why would they? They like and need cash just like the rest of us.
Being a doctor probably requires more education and results in more debt than most every other profession. But, somehow the GOP has reduced their knowledge and skills to a level where they should be accepting chicken and vegetables for their services. I wonder how many of these Congressmen would like to be paid in chickens, cows, vegetables, etc. I don't see them giving up their taxpayer funded health insurance and trying to institute a barter system with their doctors.
These people are so far out of touch with the real world, it is hard to imagine how they could possibly get any votes.
m65 kamagra
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