@gungasnake,
Quote:Doctors boycotting Obamacare is the least of our worries, the biggest problem is doctors choosing the leave medicine completely as a result of the healthcare law. According to a recent survey, more than 60 percent of doctors plan to leave medicine early as Obamacare changes the way America does medicine.
Same bullshit was hear when medicare come on line and in the very unlikely case that our doctors did any such thing we have a whole world to import doctors from .
Not a problem but for the doctors who decided to cut their own noses off.
Many physicians are leaving ObamaCare and offering medical care to patients, who like to pay with cash and avoid health insurance , if at all possible.
These are the physicians who refuse to treat Medicare and/ or Medicaid patients. Who can blame them?
I don't blame them and I say more power to all of them.
@BillRM,
BillRM wrote:
we have a whole world to import doctors from .
Yes, and in case there aren't enough physicians from the pits of the Earth to come to the US and practice medicine, remember we can always have a plumber or trash hauler perform a heart valve transplant on us.
@Miller,
The whole problem with obungacare is that it doesn't fix anything, all it is, is another redistribution scheme. The most major thing you'd want to fix/reform would be tort reform but the demoKKKrats won't let anybody touch that one, obviously, the trial lawyers guild is one of the major pillars of financial support for the rat party.
Once again, the country does need health reform, but not Obungacare.
The size of obungacare indicates to me that it is about power and not about health care. Likewise Mark Steyn notes that the job of director or head of public health has become the biggest govt. job in European countries which have public health care i.e. it would be a step upwards from PM or President or King or Grand Duke or anything else to head of health care. In other words, European health care is ultimate bureaucracy. If I had the power to I would institute a sort of a basic health care reform which would be overwhelmingly simple and which would resemble the thing we're reading about in no way, shape, or manner. Key points would be:
1. Elimination of lawsuits against doctors and other medical providers. There would be a general fund to compensate victims of malpractice for actual damage and a non-inbred system for weeding out those guilty of malpractice. The non-inbred system would be a tribunal composed not just of other doctors, but of plumbers, electricians, engineers, and everybody else as well.
2. Elimination of the artificial exclusivity of the medical system. In other words our medical schools could easily produce two or three times the number of doctors they do with no noticeable drop off in quality.
3. Elimination of the factors which drive the cost of medicines towards unaffordability. That would include both lawsuits against pharmaceutical companies and government agencies which force costs into the billions to develop any new drug. There should be no suing a pharmaceutical for any drug which has passed FDA approval and somewhere between thalidamide and what we have now, there should be a happy medium.
4. Elimination of the outmoded WW-II notion of triage in favor of a system which took some rational account of who pays for the system and who doesn't. The horror stories I keep reading about the middle-class guy with an injured child having to fill out forms for three hours while an endless procession of illegal immigrants just walks in and are seen, would end, as would any possibility of that child waiting three hours for treatment while people were being seen for heroin overdoses or other lifestyle issues.
All of those things would fall under the heading of what TR called "trust busting". There would also be some system for caring the truly indigent, but the need and cost would be far less than at present.
By far the biggest item is that first one. I don't know the exact numbers but if you add every cost involved in our present out-of-control lawyering, it has to be a major fraction if not more than half of our medical costs. The trial lawyers' guild being one of the two major pillars of financial support for the democrat party is the basic reason nobody is saying anything about that part of the problem.
Other than that, you almost have to have seen some of the problems close up to have any sort of a feel for them.
Item 2, this is what I saw in grad school some time ago, although I do not have any reason to think much has changed. In the school I attended, there appeared to be sixty or seventy first year med students walking around and all but one or two of them would have made perfectly good doctors, they were all very bright and highly motivated. The only way the school should have lost any of those kids was either they discovered they couldn't deal with the sight of blood in real life or six months later they changed their minds and went off to Hollywood to become actors or actresses; the school should never have lost more than ten percent of them. But they knew from day one that they were keeping 35% of that class.
That system says that you know several things about the guy working on your body: You know he's a survivor, and that's highly unlikely to be from being better qualified than 65% of the other students; You know he hasn't had enough sleep (he's doing his work and the work of that missing 65%); You know he's probably doing some sort of drugs to deal with the lack of sleep... One of my first steps as "health Tsar" or whatever would be to tell the medical schools that henceforth if they ever drop more than15% of an incoming class, they'll lose their accreditation.
Item 3. My father walks into a pharmacy in Switzerland with a bottle of pills he normally pays $50 for in Fla. and asks the pharmacist if he can fill it. "Why certainly sir!", fills the bottle of pills and says "That will be $3.50." Seeing that my father was standing there in a state of shock, the man says "Gee, I'm sorry, Mr. V., you see, we have socialized medicine in Switzerland and if you were a Swiss citizen and paid into the systemn, why I could sell you this bottle of pills for $1.50 but, since you're foreign and do not pay into the system I have to charge you the full price, certainly you can appreciate that."
The guy thought my father was in shock because he was charging him too MUCH... Clearly whatever needs to be done with drugs amounts to trust busting, and not extracting more money from the American people.
Item 4. A caller to the Chris Plant show (D.C./WMAL) the other morning, an ER nurse, noted that much of the costs which her hospital had to absorb, as do most hospitals, was the problem of people with no resources using the ER as their first and only point of contact to the medical profession. She said that there were gang members who were constantly coming in for repairs from bullet holes and knife damage and drug problems, that they could not legally turn any of those people away, and that there was zero possibility of ever collecting any money from any of them, and that the costs of that were gigantic.
Clearly throwing money at that problems is not going to help anything either. Again if I'm the "Medicine Tsar", those guys would be cared for, but not at the ER or at least not the part of the ER where normal people go, and they would not be first in line. Mostly they'd be dealing with medical students who needed the practice patching up knife and bullet damage.
@Miller,
Quote:These are the physicians who refuse to treat Medicare and/ or Medicaid patients. Who can blame them?
I don't blame them and I say more power to all of them.
More power to them making that business modal work for more then a percent or less of all doctors.
They might wish to learn to cut hair and turn back to the old meaning of a barber shop where you get your hair cut and your teeth pull and minor operations done.
@gungasnake,
Strange how every other first world nation on earth provide universal health care at far less of a cost per person then we do.
@gungasnake,
Stories like this make me laugh. So if the doctors aren't going to accept patients with insurance what are they going to do? Take only cash or chickens in payment?
@Miller,
Miller wrote:
Many physicians are leaving ObamaCare and offering medical care to patients, who like to pay with cash and avoid health insurance , if at all possible.
These are the physicians who refuse to treat Medicare and/ or Medicaid patients. Who can blame them?
I don't blame them and I say more power to all of them.
So doctors are going to only take rich patients without insurance? They won't be in practice long trying to do that.