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["Lynda" <lurine AT com-pair.net>]

That is why the one payer system in France works.  The docs don't need a 
gazillion people to run their office.  They have a receptionist that makes 
appointments, greets patients and prints out reports to stick in files. 
Some (busier offices) will have an assistant to get folks to the room and 
take their vitals.  That's it.  The doc does EVERYTHING himself on the 
computer.

Now, DH's physician is part way there.  He comes in the office and types 
everything in the computer.  He hits send and if there is blood work needed 
it appears at the lab.  If an x-ray is needed it appears at the radiologist. 
If he needs a prescription (not controlled substances at this time as he 
doesn't have an electronic "signature" yet) it appears at the pharmacy of 
choice.  He doesn't have dictation that needs to be transcribed, he fills in 
all the blanks and makes notes as he talks to the patient.  Voila, someone 
in medical records prints it out and that's that.

If the feds want to *help* doctors and the expense of being a doctor, then 
why don't *they* anti-up the malpractice insurance or provide a cheap plan 
for the docs?  I mean, they insure the banks, why not docs?

Or would that be too simple?

Lynda
"To announce that there must be no criticism of the President, or that we 
are
to stand by the President, right or wrong, is not only unpatriotic and
servile, but is morally treasonable to the American public."  Theordore
Roosevelt, 1918.
----- Original Message ----- 
From: "EarthNSky" <erthnsky AT bellsouth.net>
To: <gil.white AT xplornet.com>; <homestead AT lists.ibiblio.org>
Sent: Wednesday, September 16, 2009 1:22 PM
Subject: Re: [Homestead] more on DC, more on Obamacare


> Also Gil, I can't tell you how many friends I had who went into medicine
> because it was the 'family business' so to speak.  I'd bet 25% of
> everyone in my class had at least one other family member also
> practicing medicine.  Now, son and daughters are encouraged to do
> something else.
>
> IMO, the real problem with healthcare and healthcare reform is the
> bureaucracy involved.  Doctors have to have employees dedicated only to
> dealing with insurance claims.  This is not the kind of job growth we
> need.  The system needs to be simplified to reduce costs so that
> everyone can be served affordably.  As it is now, the rich have the
> greatest medical choices, and the services diminish with decreasing
> income.  For those who have no job or are self employed, they can't
> afford doctors at all.  It is not right when someone with no insurance
> is CHARGED a higher fee than someone with insurance.  A fee should be a
> fee and should be uniform throughout a practice.
>
> EarthNSky wrote:
> > Gil White wrote:
> > > And where are they going to go? Some of the older one's might retire
> > > and become cruise ship physicians but most of them are too
> > > comfortable.
> >
> > In many part of the country, there is already a shortage of doctors.  My
> > generation was the last generation where there were still some folks
> > going into medicine for its altruistic benefits.  Mostly, people wanted
> > to make money.  It is the same with law school...only the naive want to
> > go to law school to defend the poor-mostly they go because they know
> > attorneys make good money.  In the last few decades, medical school has
> > added courses in business, insurance, malpractice, etc.  It is a major
> > wet blanket.  It would be interesting to see how many M.D.'s now go into
> > research instead of practice.  (That is what I intended to do many years
> > ago-I wanted to work for the CDC)  Even that, in this day and age, is
> > not pure science, but science based on greed and grant funding, etc.  I
> > have friends who are physicians, and many are talking of retiring early.
> >    Others will become corporate or personal physicians where there is
> > little risk of personal lawsuits. I'm sure some may go into research or
> > even change specialities.  Then, there will be a shortage of physicians.
> >
> >
> >
> > No worries though...there are already, and will be more programs that
> > encourage people to go into medicine...low interest loans, grants based
> > on service of a certain location for a certain period of time, etc.
> >
> >
> > > I'm not a big fan of government involvment, but once they step in
> > > they have to look at both sides. Providing subsidized health care
> > > without controlling what doctors and specialists can charge will end
> > > up subsidizing the medical profession at the expense of the tax
> > > payers.
> >
> > You have just described what is wrong with government involvement in
> > this country.  They don't look at both sides(only the side of business)
> > and everything here is subsidized at the expense of the tax payers, to
> > the extreme that future generations will be paying for bailouts and
> > subsidies.  Meanwhile, Goldman Sachs gets their 11 BILLION dollar
> > bonuses on our grandchildren's money, for at least the second year in a
> > row.
>
> --
> Sleep well tonight, for somewhere in the ocean's depths, MY son is
> protecting your freedom on the USS Key West, currently deployed
> somewhere in the Pacific and/or Indian Ocean.  Go Navy!
> EarthNSky Farm, NW Georgia, USA
>
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