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Reply #21: And you're never getting single payer here... [View All]

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Home » Discuss » Archives » General Discussion: Presidential (Through Nov 2009) Donate to DU
TreasonousBastard Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Nov-02-09 06:39 AM
Response to Reply #20
21. And you're never getting single payer here...
whatever you mean by "single payer."

A socialized system like Britain is completely out of the question-- just ain't never gonna happen in the US. Imagine getting Congress to plan it and then 800,000 doctors with their hospitals and gastro clinics and whatever businesses they've built to agree to completely redo the medical business models they're working under.

Ain't gonna happen, and really hasn't happened anywhere but Merrie Olde England. And the Brits essentially expanded a wartime emergency medical system, so they didn't really upset much when they came up with the National Health. More to the point of what we could do is study the French and German models. Maybe even the Japanese. They balance fee-for-service with a tightly regulated insurance market and get better results than we do.

(Actually, the Czechs and Bulgarians are pushing us as far as results go.)

But, nothing good is going to happen until we find some way to make a few small changes in those business models to get fewer newly minted MDs chasing after dermitology residencies and setting up shop in Houston or NY to pay their half-million dollar student loans.

Primary care, the good ol' family doctor, is in short supply in most of the country, and not making much of a living anywhere.



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