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Response to Stuart G (Original post)

Wed May 16, 2018, 11:30 AM

3. No, no, no... U.S.A. medicine is the BEST!

Health insurance companies, pharmaceutical companies, and doctors motivated by money always do what's best for the patient.

Here in the United States even wealthy people with "platinum" health insurance plans can get inappropriate or even dangerous medical care from unethical doctors.

One of my own doctors recently retired and I don't blame him. He was clearly one of the good guys, he went into medicine for all the right reasons, but in the last couple of years he was an assembly line supervisor spending more time on the computer than face-to-face practicing medicine. Computers and increasingly intrusive insurance companies have only increased the "paperwork" doctors have to do.

As Perseus says above, doctors are like human body mechanics. Finding a good doctor or a good mechanic here in the U.S.A. isn't easy. Personally, I want a mechanic who won't be put off by my JB Weld or salvage yard parts home repairs, and won't do unnecessary repairs using absurdly expensive parts. Similarly I want a doctor who pays attention to, and speaks plainly about, any sort alternative medicine I've explored, and one who will always choose an appropriate generic prescription over the latest expensive "ask your doctor" television bullshit.

If I was emperor of the U.S.A. I'd nationalize the whole bloody mess and reconstitute it as something between the United Kingdom's National Health Service and Canada's single payer system.

Here in the real world I'm a huge supporter of Obamacare. Years ago my wife was seriously ill and we ran a COBRA plan to the bitter end and were left in a terrifying place as my wife was on a waiting list for our state's "high risk" pool. Fortunately she was accepted to that before she suffered any serious setbacks and is healthy today. We're insured through her work, but it's most certainly not a platinum or any other precious metal plan and I haven't yet got a regular primary care doctor who knows me, and it seems possible I never will.

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