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March 28, 2010
Government-provided or government paid depending on the model. so can we be surer that a more marketized system would work better? >> it is certainly true that health care is not part of the free enterprise system as we usually conceive it. half the spending in the health sector is already by the government. medicare, medicaid, veterans and local support for clinics. so the spending is already heavily public sector and almost every part of the system is regulated. nursing homes, drug approvals, ...
March 14, 2010
That wouldnt have been good for me, it would have cost more money for the system but doctors would make more money. >> more than that, anybody who had experience with complicated cases in our health system knows it is nearly inpenetrable mine field right now. doctors come and go and you dont know which practices, who they are. no continuity of care. tests get done over and over again. lots of mistakes get made. layers of cards in the system that gets billed to this one and this gets billed to th...
March 14, 2010
Price of what they are consuming. we dont have that currently. so we cant really discuss it. >> id like to bring in something on this issue of market mechanisms in health care. i think the american system is currently set up with market incentives as jeff was suggesting, that encourage doctors to do too much. and what i think americans do not fully appreciate is not only does that cost more money, but it can lead to worse outcomes and a very good example of that is childbirth. ive had a child no...
March 14, 2010
Is considered catastrophic care or situations that are life threatening. 80% of health care relates to the last year of life. >> europeans have the advantage over americans because they expect to die and americans do not. >> its ironic. they have longer life expectancy than americans. >> sometimes, a hospice can be cheaper. a less medicated, imagine a person hooked up to ivs at that sad moment. thats not necessarily necessary. >> we have a big problem here that is unsolved in basic coverage. we ...
March 14, 2010
Be faulted for not tackling part of what american doctors have to do is practice legally defensive medicine. one reason you have overtreatment. not only the profit motive, its concerned about defending yourself. >> im not even talking about the profit motive that theyre just laying on their cases. i like american doctors. im married to one. the problem is, the system theyre in, is unbelievably frustrating. one after another says its deprofessionalizing. they didnt try to go into business, they t...
March 14, 2010
That wouldnt have been good for me, it wouldnt have been good for the system, but doctors would make more money. >> anyone with complicated problems in the health system, doctors come and go, you dont know which practices, who they are. theres not continuity of care. tests get done over and over again. lots of mistakes get made. layers of cards in the some of oh, that gets billed to this one, this gets billed to that one. its really shocking how when you get to the core of it, the actual help fo...