@Miller,
Miller wrote:
roger wrote:
I'll bite. How can the growth in Medicare be fixed?
There are many ways to stop the growth in Medicare costs. One way is stop ordering expensive tests, when less expensive tests can do the job.
Another way is to Rx generic drugs, where available, in place of Brand name drugs.
Appy common sense to the practice of medicine at all levels. For instance, do 90+ year old females really need to have pap tests and mammograms each and every year?
Easy to say: very hard to do. How do you go about avoiding "expensive tests"? Will we establish a bureaucracy or a formula to second guess Doctor's judgments? How will they (and the patients like that? Folks here repeatedly scream about similar things when iunsurance companies do them.
Generic drugs don't always work with many patients. Synthroid is a good example.
I don't think you will save a lot of money by eliminating the pap tests for the 90 year old women who are so presumably anxious to get them.
The fact is that once the government gets in the business of creating suvh a universal system, then it rationalizes excess cost as a way to control it completely. I'm not aware of anything the government does that is both high quality and inexpensive. Indeed there is damn little that it does that is inexpensive at any level of quality.