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  • From: "Lynda" <lurine AT com-pair.net>
  • To: <homestead AT lists.ibiblio.org>
  • Subject: Re: [Homestead] more on DC, more on Obamacare
  • Date: Wed, 16 Sep 2009 15:27:26 -0800

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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