I am a 65 yr old anesthesiologist/physician-a medical doctor on Medicare and this subject of health care is so complex. Do we have the finest medical care in the world? Not by outcome measurement. Do we have the fattest, laziest, sickest population in the world? Do we spend too much on end-of-life care (money down the drain)? Do we spend too much for insurance company profit? Does everybody want the finest care, the finest physicians, no waiting, nurses on call and somebody else to pay for it? How about dental, chiropractic, homeopathic, naturopathic, plastic care on call for free? I do anesthesia care for 350 pound patients who smoke, drink to excess, abuse drugs, don't work and it's on your dime-your tax dollars at work. Believe it or not, some physicians don't like Medicare as a system and it has nothing to do with the reimbursement. I don't mind working for free ( and I do a lot of free care) but the paperwork and regulations are onerous. So my opinion is that I love the practice of medicine and my 37 years in anesthesiology have been wonderful and i hope to contribute more but I fear for the future of my profession and for the relationship with patients that makes it so rewarding.
Conceptually, I'm in favor in providing health care to everyone, however I'm also concerned about the costs associated with such a universal benefit. As part of the cost benefit analysis i started thinking about some new social pressure it could create. Here's what i mean.
We know that living a certain way creates a higher likelyhood that you will be healthy. For example, if you don't smoke and aren't obese the odds are that you will live longer/healthier … more
Obsessed with body cuts? If you are one of the victims who are too obsessed with body cuts, maybe three girls are able to give the message that you are already perfect enough! EH! bring three........Read More
Last night we had dinner with our daughter Elin and her partner Emmanuel: she's just back from teaching at a week-long shindig in Chicago for viola da gamba players. One of the stories she told concerned a fellow gambist from Canada who was recently diagnosed with a leukemia-like disease and who underwent some cutting-edge treatment this spring in Ontario. He was diagnosed and treated in his home city in a timely fashion and is doing well, it seems. But … more
With all due respect Sir, I firmly believe that this time the American people should hold your feet to the fire. During your campaign for President you made a number of promises to us. First and foremost your promised transparency. The days of backroom deals would be over. Bills would be posted on the White House website for at least five days so that the general public would have an opportunity scrutinize them. There would be no earmarks. Your … more
One of the biggest concerns in this country to date is the health care reform and universal health care. Why do countries like Canada, England and Sweden have it AND why do we have millons of Americans who are uninsured and underinsured? These people make such difficult choices as whether to go to a doctor and pay for medicine when sick or buy food, pay utilities, etc. In a country as wealthy and powerful as ours, this should have to be an issue at hand. … more
I don't know why people are against a single payer health care. This country needs some form of basic health care coverage for it's population. The argument I always hear is taxes. You have these plants in some of these town hall meeting jumping up and down about saying "We pay enough taxes, we don't want to go in debt." Where were these same people when we threw away billions upon billions of dollars at Bush Jr.s War in Iraq? Do they care that we have spent … more
Universal health care is health care coverage for all eligible residents of a political region and often covers medical, dental and mental health care. These programs vary in their structure and funding mechanisms. Typically, most costs are met via a single-payer health care system or national health insurance, or else by compulsory regulated pluralist insurance (public, private or mutual) meeting certain regulated standards. Universal health care is implemented in all but one of the wealthy, industrialized countries, with the exception being the United States. It is also provided in many developing countries and is the trend worldwide.
Universal health care is a broad concept that has been implemented in several ways. The common denominator for all such programs is some form of government action aimed at extending access to health care as widely as possible and setting minimum standards. Most implement universal health care through legislation, regulation and taxation. Legislation and regulation direct what care must be provided, to whom, and on what basis. Usually some costs are borne by the patient at the time of consumption but the bulk of costs come from a combination of compulsory insurance and tax revenues. Some programs are paid for entirely out of tax revenues. In some cases, government involvement also includes directly managing the health care system, but many countries use mixed public-private systems to deliver universal health care