Friday, June 7, 2013

National healthcare vs private multipayer

OK - blame this one on me.  It's my pick. As I am somewhat involved with healthcare on a daily basis this seemed a worthy discussion. In some circles civil discussion seems impossible on the subject.  I am counting on that NOT being the case in the LBC.

It's an admittedly large topic and I highly doubt anyone will change there mind on the subject after today's exercise, but it should be interesting.

IMHO our healthcare system is seriously flawed.  My reason may surprise you but I think any system that begins with a new practitioner up to his/her eyeballs in debt because of loans required to get through medical school is doomed  to place an emphasis on profit first and care second. No matter how noble our freshly minted MDs and DOs may be - the magnitude of their debt is simply stunning. The next generation of U.S. physicians is being saddled with record debt amid a looming shortage of doctors needed to cope with a rising elderly population (that'd be me).  How does a median cost of  $278,455 sound? Two of my very best friends have daughters who have just begun their careers. I suspect they feel like they're carrying me around on their shoulders. Is it any wonder the number of GPs is declining? Their average $200,00 in annual earnings doesn't sound like so much when their expected incomes around $200K per annum.  Add to that the burden of fighting a myriad of insurance companies with different paperwork requirements and different rate scales to make ends meet doesn't sound so appealing. How many new doctors went into medicine to be business men and women? Is it any wonder the primary focus on their practice becomes the business of the practice rather than patient care?? Oh sure - some can handle the juggling act.



The question is should they have to? Wouldn't a single payer system make so much more sense? Clearly there is no perfect system but Canada seems to run fairly well and it's probably the most culturally similar country to the U.S.A.. Unfortunately I think there's more of a "we're all in this together" mindset in Canada and an "I'm looking out for me, myself and I " here in the U.S..

Rumor has it you might have to wait a couple of months to see your doctor in Canada for non-essential treatment.  Imagine that.  Oh - by-the-way - last time I made an appointment here with my GP I had to wait 6 weeks. Damn - that extra 2 weeks could be a killer.  My wife's uncle was a big-time chemist with Standard Oil in California but he spent half of his professional career in eastern Canada, Several of his kids were born there.  He had nothing but praise for the Canadian health system.  What do some American MDs think of the Canadian system?  Try this article American MD visits Canada.

Obviously there are two sides to the issue but you first have to be open for discussion on the matter and too many folks here simply are not.  It's somewhat similar to gun control. Sure you'll hear Canadians are flocking to the US for treatments.  Hmm - 99.39% don't.  A higher percentage of Canadian Doctors are happy with their professions than American.  Here's an article that debunks 5 myths about Canadian healthcare .  Check it out.

I have NO problem with anyone who can afford the price to pay whatever it costs to get whatever procedure they desire, I do have a problem with healthcare  being an exclusive club that forces uninsured folks to bury our emergency health system because in most places here an ER cannot turn someone away.  They are forced to treat everyone.  Any wonder ER rooms are closing all over the country? They aren't profitable it seems.  They have too many non-paying customers and I hate to rain on your collective parade, not all of those patients are illegal or members of a minority group.

I've barely scratched the surface of this issue and I can only say we need to explore single payer or some sort of hybrid system before it's too late. There's no time to dawdle.



Subtle eh? A canadian band closing out the post.  What do my LBC cohorts think? Check them out - some come from places far away and have single payer national plans - I can't wait to hear what they have to say.

11 comments:

  1. Don't even know where to start on this one Shackman. Let's just say we will have to agree to disagree on this one.
    blessings ~ maxi

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  2. Don't even know where to start on this one Shackman. Let's just say we will have to agree to disagree on this one.
    blessings ~ maxi

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    1. No problems with that maxi civil disagreements are fine by me

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  3. You certainly know how to pick topics to tip our thinking caps! We are facing changes in service both in the UK and in the Republic of Ireland in the not to distant future. If I were to believe all the scare mongering headlines, I might be inclined to step outside the igloo or take a long walk on a short pier.

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  4. I have an HMO (Kaiser) and have really liked it. I can always get an appointment for urgent matters, and after my initial visits, all tests are free. But it is expensive. If we could develop a government system that did not require an increase in health costs for me (mine will go up considerably), and did not have huge taxation to fund it, I might be more supportive. :)

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    1. Kaiser is a decent model to follow -they do many things very very well. Lynn is under medicare and we have chosen a medicare supplemental plan by a private company. They are required to offer at bare minimum what medicare offers and they offer considerably more. Clearly it is profitable or they would not offer the policies. It costs nothing in addition to medicare part B - which we would be paying anyway.

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  5. I'd like to say something (intelligent if possible) in reply to you, Shackman. You deserve it. Though you sure chose a shite subject. In fact, so shite, that in your honour I entered a contest today which may win me (though most likely won't) a bottle of Whiskey worth over £400.00 which - if and when procured - I will send forthwith your way. Because as they say in that inane L'Oreal advert: "You are worth it".

    Leaving all, more important, issues on the subject aside: I do not buy into the debt of medical students thing (daughters of your friend an example). As investments go it's a marvellous one considering that doctors make a bloody fortune. If you want to make an even bigger one become a dentist. Obviously you'll need a steady hand and 20/20 vision but, hey, my aching hole is your oyster.

    UI

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    1. If what you say is true then why is there a shortage of Family doctors? Surgeons may make a fortune - others not so much. Dentists? Just so happens one of my oldest, best friends is in a highly successful practice in Palo Alto, CA and his business model is frightening. To be sure - he is doing quite well but with tort reform to hold down ludicrous settlements his - and all doctor's rates could drop substantially along with their insurance rates. Healthcare is much more than see a doc, get a pill. And I agree 100% - I'm sorry I chose this topic.

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  6. What you say about the cost of acquiring the education for doctors has removed the one major factor in the practice of medicine, calling. You simply do not see as many GPs anymore and for just about every ailment, one has to get a myriad of tests done and the old fashioned way of diagnosis has disappeared as doctors no longer can diagnose without those fancy tests and results. That element alone costs a fair part of the treatment and the rest is not unsubstantial either. I have said the same thing in the other posts and will repeat it here - what strikes me is the fact, yes fact, that there is no perfect system anywhere in the world. I suppose that at some time in the future we will get a workable model but for the present, we are all bungling our way through many models and not happy with any.

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  7. There are some countries like Canada that have better health care services in comparison to other countries. The medical services are better and much more effective. Due to these services only, people have survived of some deadly diseases.

    C-Care Health Services

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  8. Interesting blog and its having the useful information, so i would like to thank for creating this informational blog.

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