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I know theres a few of you that made the move.

I have been looking at buying a holiday homev there,

But you know what I Really fancy.

Running a nice little Motel

Something like this one?

http://www.thejoymotel.com/

You can buy these places quite cheap,

Anyone have any comments?

Also, anyone know Jamesport, Missouri?

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Enjoyed y'all's replies:  I think we have been able to discuss this without getting nasty political.   I don't think it is political to say I do not think Mr. Trump had a fair shake from the

No real desire to visit America...........except perhaps couple of days in New York and some of the old west........but thinking about it most of us grew up watching American TV series and films......

If Nottingham folks have questions, or relatives, or observations about Nottingham / US connections I don't think the thread has reached its end.  The election is over.  Mr Trump won.  The media of bo

What is in Jamesport? I can't say that Missouri is an area that I am familiar with, but it is not regarded as the most affluent, or desireable area of the country.

The little motel idea seems to be more and more popular - but the ones that are successful tend to be in the more "touristy" areas. Wasn't Katyjay in the motel biz for a while? Perhaps she has some more insight?

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There is a hotel in that town for sale, near to Amish communities?

Its near Kansas?

What kind of place is that then?

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See it here Mick using MS Live.com http://maps.live.com/#JmJiPTM2LjczNjI2NzIy...4ODM4NzgxMDk4NA==

It's near the place with the red roof :rolleyes:

Not far from Springfield so you may bump into Homer!

Seriously though, it looks like a nice place but a long ways from the coast. http://www.eurekasprings.org/

You.ve got some serious competition http://www.eurekasprings.com/lodging/index.html

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Here's a link to Jamesport, Mick, according to that it's in the north western portion of Missouri. http://www.jamesport.net/

Not wanting to put you off, but it can be hard work running a motel, 24 hours a day seven days a week, no time off! But Katy will tell you everything there is to know about hotels!

Remember I'm in south central Missouri if I can be of any help.

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Hi Mick

When we decided to buy a motel in the States, we were lucky in that we found a lady in Sevenoaks, who helped folks do just that. She contacted agents in the states we were interested in, and set up for us to go and see them, and also she got my husbands work visa for him. It's a different visa when you buy a business, to just going over and working for someone else.

We picked a motel in a tourist town, so there were always folks passing through to go to the Canyon. There were 23 motels in this little town at that time, [even more now after the steam train came] so we had to make sure we got folks to stop at ours and not theirs. We constantly put money into it, updating everything, because first impressions are all you can get customers with. It helped, flying the Union Jack and putting British Hospitality on the sign! It was hard work in that you put in so many hours. It's not hard as in labouring, but the time is never your own. I don't think we ate a meal or watched a TV program without an interuption, either the phone to take reservations, or someone coming in the door, all day long, as they'd be price-checking for that night. It was a good living though, if you can stick it out.

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Thanks Kath,

Really fancied it since staying in 50's styl motels in Florida.

The one major factor you have to consider at your great age,Mick if you go to America is Health Care. Become ill over there and your Motel could be sold to pay for it!

Anyway have you considered being stabbed in the shower in a 50`s Motel? !sickly!

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The major problem would then be ,who would you get to clean up the mess after SWMBO had been arrested??

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The one major factor you have to consider at your great age,Mick if you go to America is Health Care. Become ill over there and your Motel could be sold to pay for it!

Anyway have you considered being stabbed in the shower in a 50`s Motel? !sickly!

It doesn't work the other way though. I know a Yank who has just undergone surgery courtesy of the NHS.

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The one major factor you have to consider at your great age,Mick if you go to America is Health Care. Become ill over there and your Motel could be sold to pay for it!

Anyway have you considered being stabbed in the shower in a 50`s Motel? !sickly!

What makes you think you are going to get treatment HERE soon?

+ many of our new residents here carry knives as a part of their culture.

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What makes you think you are going to get treatment HERE soon?

+ many of our new residents here carry knives as a part of their culture.

At least its free in UK,Mick,even though you are going to die waiting!

In America you are just going to die!

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There's lots of lower cost insurance schemes cropping up now, won't be long before health care becomes affordable once more for the masses.

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Recent true story ,Ayup.

The Professor of Surgery at University of California took his son to Mexico where he developed appendicitis. Returned to California and tried to get his son(in acute pain) into hospital. It took a multitude of NURSE gatekeepers telling him what to do and deciding if his desparately ill son could be admitted!!!

This is how the system works for well insured people,imagine what it is like for the vast remainder!

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Recent true story ,Ayup.

The Professor of Surgery at University of California took his son to Mexico where he developed appendicitis. Returned to California and tried to get his son(in acute pain) into hospital. It took a multitude of NURSE gatekeepers telling him what to do and deciding if his desparately ill son could be admitted!!!

This is how the system works for well insured people,imagine what it is like for the vast remainder!

I never had any problems in California, my wife had to take me to a Doctor one weekend due to acute ear ache, wasn't there but for half an hour, then onto the pharmacist for the anti biotics and home. Went to my own clinic on the Monday morning, checked in at the desk, Doc saw me within 15 minutes, made an appointment for two weeks hence and on my way home again.

The wife had to have surgery, no problems at all. We did have insurance at that time via the wifes work.

I also went to a Dentist twice a year for check ups and treatment, top class dentist too!

Another instance, I thought I'd got kidney problems, felt like stones, turned out to be an old back injury, I'd torn my traps some years earlier. But the Doc took a battery of tests to be sure and safe. All without an appointment, walk in, fill out the forms, five minutes then into see the Doctor.

I can't complain.

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I never had any problems in California, my wife had to take me to a Doctor one weekend due to acute ear ache, wasn't there but for half an hour, then onto the pharmacist for the anti biotics and home. Went to my own clinic on the Monday morning, checked in at the desk, Doc saw me within 15 minutes, made an appointment for two weeks hence and on my way home again.

The wife had to have surgery, no problems at all. We did have insurance at that time via the wifes work.

I also went to a Dentist twice a year for check ups and treatment, top class dentist too!

Another instance, I thought I'd got kidney problems, felt like stones, turned out to be an old back injury, I'd torn my traps some years earlier. But the Doc took a battery of tests to be sure and safe. All without an appointment, walk in, fill out the forms, five minutes then into see the Doctor.

I can't complain.

I think you have been exceptionally lucky Ayup. Firstly you had insurance(vast numbers don`t because they cannot afford it) and secondly because you did not seem to come up against the horrendous administrative screening process before getting your wife into hospital. How long was she in for?

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Managed care combines financing and delivery of health care in a single entity with the aim of improving quality of care while controlling costs. In the traditional system, the employer pays a fixed premium to an insurance company. A patient with insurance coverage can go to any physician or hospital and the insurance company pays 80% of the charges and the patient the rest. In Managed Care, the employer negotiates with a Managed Care Organisation (MCO) to provide for the health needs of their employees and their families. The MCO hires physicians, or contracts with physicians to provide care. It also owns or contracts with hospitals. A patient covered by an MCO may receive care from only those physicians/hospitals on the MCO's list. The intent of the MCO is to reduce demand for health care and at the same time to reduce the cost of care.

To reduce demand, a gate-keeper, usually a nurse, screens the patient's complaint and approves or denies access to a general physician who is expected to handle a far greater range of services than under the FFS system. A patient may consult a specialist only after a referral from the general physician (9). Patients may use only plan physicians and hospitals. Emergency room visits are discouraged by denying payment for 'inappropriate' use. Hospitalisations require pre-certification and many procedures require mandatory second opinion. Pharmaceutical cost containment is achieved by a restricted formulary (10). MCOs use case managers, usually nurses, to oversee care of high cost chronic diseases such as asthma, congestive heart failure and diabetes. Credentialing of physicians by MCOs extends beyond verification of training and certification to review of practice patterns, use of diagnostic tests, rates of subspecialty referrals etc. A system of incentives and penalties based on utilisation review 'encourages' physicians to regulate their use of tests, procedures, and specialty consultations (11, 12). Before laws prohibiting their use, many MCOs included 'gag rules' which restricted physicians to discussing only MCO-sanctioned treatments. Physicians are required to follow specific protocols limiting their clinical autonomy and are monitored for their compliance with practice guidelines. An MCO may also transfer some of the risk to the physician through a capitation arrangement under which the physician is expected to provide total care irrespective of the resources/effort required. This system came to be called 'managed care' as every aspect of medical care is managed.

To reduce costs, MCOs recruit younger healthier patients ('cherry-picking'), negotiate lower charges from hospitals and pharmaceutical companies and force physicians to accept lower fees. Costs are also shifted aggressively to other payers such as the Veterans Hospital Administration, and other insurers.

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She wasn't in for long Stan, they don't like people too long in hospitals anymore because of the risks of secondary infections. Hospitals these days are not healthy places! (Golden Staph)

The only problem with the "gatekeeper" theory is a nurse is in no position to gauge a patients health, she or he are not licensed Doctors and as such if there is a complication, she could get charged with practicing medicine without a license, plus the patient or their relatives COULD sue both the nurse and medical facility for untold millions. A nurse can assess the situation, but must leave diagnosis to a trained medical practitioner.

I have no insurance now Stan.

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To reduce demand, a gate-keeper, usually a nurse, screens the patient's complaint and approves or denies access to a general physician who is expected to handle a far greater range of services than under the FFS system

This is what I am on about Ayup. The professor's son was denied access to hospital by the nurse gatekeeper and it seems that their is little that can be done legally . How do you go for medical care if you need admission to hospital without insurance,Ayup?

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I don't know what the situation is over there, regarding getting in to see a doctor or get anything done at the hospital. I heard that it could be six months for hip replacements etc. Here they whip you in not long after diagnosis. Arizona has a system for the low income families, called Access, [Arizona Health Care Cost Containment System or AHCCCS] which you have to sign up for, then everything is free. I went to my dentist this week, and he said he gets Brits in there, who come over on vacation, and go in the dentists over here to get their treatment done, because with the exchange rate as it is now, it's cheaper here than there [if you can find a dentist to take you over there]

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To reduce demand, a gate-keeper, usually a nurse, screens the patient's complaint and approves or denies access to a general physician who is expected to handle a far greater range of services than under the FFS system

This is what I am on about Ayup. The professor's son was denied access to hospital by the nurse gatekeeper and it seems that their is little that can be done legally . How do you go for medical care if you need admission to hospital without insurance,Ayup?

I cannot be denied urgent medical treatment, Medicare would have to take care of the bill as we are low wage earners, so would qualify if needed.

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Dear Katyjay,and Ayup,

Suggest you read the excellent article in Wikipedia on American Healthcare.They spend almost 1/5 of GDP on Healthcare

The World Health Organization (WHO) in 2000 ranked the U.S. health care system first in both responsiveness and expenditure, but 37th in overall performance and 72nd by overall level of health (among 191 member nations included in the study)

Uninsured Americans are less likely to have regular health care and use preventive services. They are more likely to delay seeking care, resulting in more medical crises, which are more expensive than ongoing treatment for such conditions as diabetes and high blood pressure. A 2007 study published in JAMA concluded that uninsured people were less likely than the insured to receive any medical care after an accidental injury or the onset of a new chronic condition. The uninsured with an injury were also twice as likely as those with insurance to have received none of the recommended follow-up care, and a similar pattern held for those with a new chronic condition.[49] Uninsured patients are twice as likely to visit hospital emergency rooms as those with insurance; burdening a system meant for true emergencies with less-urgent care needs.[50]

Another recent study by researchers with the American Cancer Society found that individuals who lacked private insurance were more likely to be diagnosed with late-stage cancer than those who had such insurance. This was true of both the uninsured as well as those covered by Medicaid. “Individuals without private insurance are not receiving optimum care in terms of cancer screening or timely diagnosis and follow-up with health care providers," study authors concluded

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Check this out Stan, then you will see why I've lost all confidence in the medical profession.

youtube=http://www.youtube.com/watch?v=FPI7zdGdqo4&eurl=http://articles.mercola.com/sites/articles/archive/2008/3/4/beware-of-lemon-slices-in-your-res

taurant-drinks.aspx

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I also suffer from Lyme disease Stan, nothing the medical profession can do for me or anyone else who has had this nasty disease for more than three months before diagnosis.

My Docs failed me miserably in California when I had the onset of the disease, I only had the disease around ten years before it became full blown and apparent what I was suffering with annually since California.

This is what Dr Edwards of Reno states about Lyme.

________________________________________________________________________________

___________

David Edwards, M.D., a leading alternative physician practicing in Reno, Nevada, has said that the animal kingdom is on a crash course with the micro-organism kingdom, and one day, microorganisms will win.

In the case of chronic Lyme Disease, micro-organisms have won―chronic Lyme Disease sufferers often do not recover. However, a small percentage of people do recover―by outsmarting their Lyme Disease.

It is scientifically impossible that bacteria can think or be intelligent in the same way human beings can. Yet, Lyme Disease bacteria evade the human immune system and escape the best treatments modern medicine has to offer. Whether you think of these bacteria as intelligent or merely adaptable, it doesn't change a thing―Lyme Disease bacteria are capable of advanced survival activities which lead to prolonged infection and misery.

What is the difference between someone who recovers from Lyme Disease and someone who remains sick? In a word, information. Information leads to either poor treatment decisions and continued misery, or wise treatment decisions and steady recovery.

In this book, you'll find 10 of the world's most effective conventional and alternative Lyme Disease treatments, and you’ll learn how to integrate them into a comprehensive treatment program. In short, you’ll find the right information.

Don't let Lyme Disease bacteria win the battle in your body. Outsmart your Lyme Disease!

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