I'm not sure about that. The doctors I speak with on a daily basis are totally frustrated by our healthcare system, or moreso by our insurance system. They are hogtied, they have been forced to hire a whole department of people to wade through prior authorizations for insurance claims, they are told by insurance companies what's best for their patients, and they are bogged down in administration.
That goes for specialists as well as the family doctor. When I ask doctors about unmet needs in healthcare, they never cite clinical unmet needs--they say "coverage."
And affluence has nothing to do with it. Doctors have to sell their practices to integrated delivery networks to relieve themselves of the burden of cost.
"Do any human beings ever realize life while they live it--every, every minute?" Emily Webb, Our Town
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The physician member of the Board of Health told me masks only work 20% of the time. But they would not remove the mandate even in areas like the adult section of the library. I asked why don't they repeal the city mandate now that there is a state mandate to cover schools, daycares, and nursing homes but nope. I emailed the city councillors asking them to get rid of the appointed Board of Health and replace it with an elected Board of Health that is accountable to the voters. Stay tuned.
but are doctors paid higher than they are in oh I don't know say Canada? (or any other universal healthcare model of one's choosing) And if so would they be willing to take a pay cut for say Canadian healthcare for all? Because if all we have here is people complaining about the things they don't like about their job, that doesn't really tell us much on if they would support a different system or not. I know there is the problem of school debt costs as well though that people take on to become MDs.I'm not sure about that. The doctors I speak with on a daily basis are totally frustrated by our healthcare system, or moreso by our insurance system. They are hogtied, they have been forced to hire a whole department of people to wade through prior authorizations for insurance claims, they are told by insurance companies what's best for their patients, and they are bogged down in administration.
That goes for specialists as well as the family doctor. When I ask doctors about unmet needs in healthcare, they never cite clinical unmet needs--they say "coverage."
And affluence has nothing to do with it. Doctors have to sell their practices to integrated delivery networks to relieve themselves of the burden of cost.
Trees don't grow on money
So much nonsense, where to begin...
Oh yes, by going out and kayaking.
So what is the way to reduce healthcare costs to what the rest of the world pays?
It seems like almost every other system is preferable, covers more universally, and is cheaper. And if that reduces doctors salaries or hospital costs or prescription costs or device costs or eliminates insurance middleman (that's the usual assumption) so be it. We have about the most expensive healthcare in the world and don't even manage universal coverage, so just about any model is better. But I need to work out all the detail? What good would that do? It would be the most pointless thing in the world. At least I want to charge people for my substack then. But anyway plenty of people have written plenty on healthcare policy, if one wanted healthcare policy papers, but what's the point unless any of it actually becomes actual policy, and for that you need lawmakers willing to pass legislation. It's like the IPCC can blab on all day long about climate, with all the expertise in the world, and if no governments listen, it kind of misses the goal. If those in power wanted universal coverage at less than we are paying in total healthcare costs, well given many countries achieve this, it shouldn't be impossible, it really shouldn't. It should really be a fairly simple problem, definitely compared to climate change. But they have to want it.
I do think Obama hit political walls although the ACA was passed by reconciliation, but how serious he ever was I don't know. Just what we got, was a medical safety net with big enough holes to drive a semi through and definitely not universal medical care, and we were all told to love it.
Trees don't grow on money
Dealing with Covid is a multi layered approach. Its masks, social distancing, hand washing, vaccines . And people not be to so belligerent about it. you remind me of a petulant kid sitting at the dinner table, refusing to eat their veggies.
Your Equine Fun Fact of the Day: Rhinos and Tarpir are very closely related to horses.
Let's parse this reply from someone who thinks she has the answers.
1. "Its" should be "It's'".
2. There should not be a space after "vaccines" before the period.
3. "And people not be to so belligerent" is completely ungrammatical.
4. "You" as the first word in a sentence should be capitalized.
5. "Kid ... eating their veggies" would be better worded using the plural "kids" instead of "a ... kid".
6. There is no such animal as a tarpir although there is a tapir.
And you want me to believe you've got the details of a multi layered covid approach down? Detail doesn't seem to be your forte.
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