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Health Care

A government program designed to cover all residents of a political region.

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Universal health care

  • Jul 17, 2009
  • by
Rating:
+3
 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.

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August 09, 2009
When Canada adopted its universal program about 30 years ago, some doctors were very upset--there even was a doctors' strike in Sasketchewan. But in the intervening years the simplicity of billing with a single payer system as well as the fact that doctors are always paid (and my daughte-in-law's grandfather has many stories about being paid in groceries and venison in the bad old days) has won over most. As for the question of who deserves what kind of medical care (are we going to ration care to the fat, for example?) as well as the whole question of community norms regarding what are acceptable fees, see Atul Gawande's article in the New Yorker, "The Cost Conundrum" at http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande
 
July 18, 2009
Enjoyed your take on this subject. I certainly hope that we can explore serious subject matter like this from time to time on Lunch. After all, everything in life is not fun and games. There are so many topics we need to have a serious dialogue on and none more important than the future of health care.
 
July 17, 2009
Very interesting to hear a physician's perspective, thx!
 
July 17, 2009
Thanks for your review. My dad is a radiologist and I tend to hear a lot of his opinions on the subject (so I am a bit biased), but at the same time, I'm trying to keep an open mind. Thanks for bringing the subject up! Have you seen the movie Sicko? I've heard such mixed reviews.
 
1
More Universal Health Care reviews
review by . September 11, 2009
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 …
review by . August 08, 2009
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 …
review by . July 17, 2009
Health Care !
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 …
review by . January 23, 2010
Universal Health Care Debate in this country...
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.   …
review by . October 16, 2009
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 …
Quick Tip by . January 23, 2010
This country's politicians still can't make up their mind about Universal Health Care. They need to come up with something fast!
Quick Tip by . August 22, 2009
Here's some common sense: http://www.theonion.com/content/news/congress_deadlocked_over_how_to?
Quick Tip by . August 20, 2009
Nooooo! Don't do it! Taxes will increase to make up the ever increasing deficit. DEBT KILLS
Quick Tip by . August 20, 2009
As Canadian, I see universality as the problem not the solution.
Quick Tip by . August 20, 2009
A much worthier place to spend money than dumping trillions into black hole, incompetent banks, but sadly, I doubt the gov can pull it off
About the reviewer
robert rogoff ()
Ranked #613
Physician-anesthesiologist. 3 children, 2 grandchildren. Live in Shaker Heights, Ohio-suburb of Cleveland
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Wiki

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

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