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	<title>Comments on: No hip replacement for you, fatso!</title>
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		<title>By: The Grass Is Not Always Greener: A Look at National Health Care Systems Around the World - Part 3 - Great Britain &#124; Dr. Walt's Health Blog</title>
		<link>http://healthcare-economist.com/2007/09/05/no-hip-replacement-for-you-fatso/comment-page-1/#comment-4815</link>
		<dc:creator>The Grass Is Not Always Greener: A Look at National Health Care Systems Around the World - Part 3 - Great Britain &#124; Dr. Walt's Health Blog</dc:creator>
		<pubDate>Fri, 02 Oct 2009 14:49:51 +0000</pubDate>
		<guid isPermaLink="false">http://healthcare-economist.com/2007/09/05/no-hip-replacement-for-you-fatso/#comment-4815</guid>
		<description>[...] Benefits Covered. The NHS system offers comprehensive coverage. Because of rationing, care might not be as easy to get as advertised. Terminally ill patients may be denied treatment. David Cameron has proposed that the NHS refuse treatment to smokers or the obese (see Tanner&#8217;s post of 7 Sept 2007). [...]</description>
		<content:encoded><![CDATA[<p>[...] Benefits Covered. The NHS system offers comprehensive coverage. Because of rationing, care might not be as easy to get as advertised. Terminally ill patients may be denied treatment. David Cameron has proposed that the NHS refuse treatment to smokers or the obese (see Tanner&#8217;s post of 7 Sept 2007). [...]</p>
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		<title>By: Healthcare Economist &#183; Health Care Around the World: Great Britain</title>
		<link>http://healthcare-economist.com/2007/09/05/no-hip-replacement-for-you-fatso/comment-page-1/#comment-323</link>
		<dc:creator>Healthcare Economist &#183; Health Care Around the World: Great Britain</dc:creator>
		<pubDate>Wed, 23 Apr 2008 05:32:43 +0000</pubDate>
		<guid isPermaLink="false">http://healthcare-economist.com/2007/09/05/no-hip-replacement-for-you-fatso/#comment-323</guid>
		<description>[...] Benefits Covered. The NHS system offers comprehensive coverage. Because of rationing, care might not be as easy to get as advertised. Terminally ill patients may be denied treatment. David Cameron has proposed that the NHS refuse treatment to smokers or the obese (see 7 Sept 2007 post). [...]</description>
		<content:encoded><![CDATA[<p>[...] Benefits Covered. The NHS system offers comprehensive coverage. Because of rationing, care might not be as easy to get as advertised. Terminally ill patients may be denied treatment. David Cameron has proposed that the NHS refuse treatment to smokers or the obese (see 7 Sept 2007 post). [...]</p>
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		<title>By: jd</title>
		<link>http://healthcare-economist.com/2007/09/05/no-hip-replacement-for-you-fatso/comment-page-1/#comment-321</link>
		<dc:creator>jd</dc:creator>
		<pubDate>Mon, 24 Sep 2007 02:03:26 +0000</pubDate>
		<guid isPermaLink="false">http://healthcare-economist.com/2007/09/05/no-hip-replacement-for-you-fatso/#comment-321</guid>
		<description>Private insurers are interested in doing the same sorts of things. Discussions on these topics have happened on and off at major insurers for years (I work in the industry). One of the biggest barriers to private US insurers being punitive or triaging coverage, ironically, is the government.

If ADA and other laws in the US did not forbid this kind of discrimination by private payers, would you object to it? Or is the fact that government does it key here for you? If the issue is choice, in England people can buy supplemental insurance. Those worried about not being able to get hip replacements because they are too fat can buy an extra policy that has no such restrictions.

So I don&#039;t think I get your point. The payer, whether government or private, is always going to be exploring ways to cap costs. More and more, the focus is on getting those whose behaviors contribute to their illness to change their behaviors. This is very much happening in the US as well.</description>
		<content:encoded><![CDATA[<p>Private insurers are interested in doing the same sorts of things. Discussions on these topics have happened on and off at major insurers for years (I work in the industry). One of the biggest barriers to private US insurers being punitive or triaging coverage, ironically, is the government.</p>
<p>If ADA and other laws in the US did not forbid this kind of discrimination by private payers, would you object to it? Or is the fact that government does it key here for you? If the issue is choice, in England people can buy supplemental insurance. Those worried about not being able to get hip replacements because they are too fat can buy an extra policy that has no such restrictions.</p>
<p>So I don&#8217;t think I get your point. The payer, whether government or private, is always going to be exploring ways to cap costs. More and more, the focus is on getting those whose behaviors contribute to their illness to change their behaviors. This is very much happening in the US as well.</p>
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		<title>By: Healthcare Economist &#183; UK Doctors refuse to fix builder&#8217;s broken ankle unless he quits smoking</title>
		<link>http://healthcare-economist.com/2007/09/05/no-hip-replacement-for-you-fatso/comment-page-1/#comment-320</link>
		<dc:creator>Healthcare Economist &#183; UK Doctors refuse to fix builder&#8217;s broken ankle unless he quits smoking</dc:creator>
		<pubDate>Tue, 18 Sep 2007 19:34:44 +0000</pubDate>
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		<description>[...] a follow-up to my &#8220;No hip replacement for you, fatso!&#8221; post, the Daily Mail reports that in Britain&#8221;Doctors refuse to fix builder&#8217;s [...]</description>
		<content:encoded><![CDATA[<p>[...] a follow-up to my &#8220;No hip replacement for you, fatso!&#8221; post, the Daily Mail reports that in Britain&#8221;Doctors refuse to fix builder&#8217;s [...]</p>
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		<title>By: &#187; Today&#8217;s Debate: What should be required of patients? &#124; ZDNet Healthcare &#124; ZDNet.com</title>
		<link>http://healthcare-economist.com/2007/09/05/no-hip-replacement-for-you-fatso/comment-page-1/#comment-322</link>
		<dc:creator>&#187; Today&#8217;s Debate: What should be required of patients? &#124; ZDNet Healthcare &#124; ZDNet.com</dc:creator>
		<pubDate>Wed, 05 Sep 2007 18:27:40 +0000</pubDate>
		<guid isPermaLink="false">http://healthcare-economist.com/2007/09/05/no-hip-replacement-for-you-fatso/#comment-322</guid>
		<description>[...] the U.S., this debate is already joined. No hip replacement for you, fatso! writes the Healthcare Economist. Welcome to mandatory physical activity, complains a [...]</description>
		<content:encoded><![CDATA[<p>[...] the U.S., this debate is already joined. No hip replacement for you, fatso! writes the Healthcare Economist. Welcome to mandatory physical activity, complains a [...]</p>
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