Comments on: Heading towards a Japanese health system http://www.kevinmd.com/blog/2007/01/heading-towards-japanese-health-system.html Tue, 14 Feb 2012 22:04:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2007/01/heading-towards-japanese-health-system.html#comment-71098 Anonymous Wed, 31 Jan 2007 01:04:00 +0000 http://clients.emmense.com/kevinmd/2007/01/heading-towards-a-japanese-health-system.html#comment-71098 Actually, the Japanese health system is quite a good one -- I used it for almost 5 years and I was very impressed. It is certainly far better than the one that I use in the U.S. now. Actually, the Japanese health system is quite a good one — I used it for almost 5 years and I was very impressed. It is certainly far better than the one that I use in the U.S. now.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/01/heading-towards-japanese-health-system.html#comment-70470 Anonymous Wed, 17 Jan 2007 00:18:00 +0000 http://clients.emmense.com/kevinmd/2007/01/heading-towards-a-japanese-health-system.html#comment-70470 I'm pretty sure that Japanese docs are the highest paid in the world second only to America.<br/><br/>I heard that a big reason for this is that Japanese doctors are allowed to sell the drugs they prescribe, much like american oncologists used to do wtih chemo drugs. <br/><br/>That gives them a huge revenue stream. I’m pretty sure that Japanese docs are the highest paid in the world second only to America.

I heard that a big reason for this is that Japanese doctors are allowed to sell the drugs they prescribe, much like american oncologists used to do wtih chemo drugs.

That gives them a huge revenue stream.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/01/heading-towards-japanese-health-system.html#comment-70452 Anonymous Tue, 16 Jan 2007 16:02:00 +0000 http://clients.emmense.com/kevinmd/2007/01/heading-towards-a-japanese-health-system.html#comment-70452 Either the system is patient centered, or it's geared toward another goal (like cost control).<br/><br/>If we're patient centered, high cost and high quality care will be reuslts.<br/><br/>If we're cost centered, we eventually get to a point where we tell patients "your care is too expensive, so we're just going to relieve your suffering and stop treating."<br/><br/>We're trying to find the middle ground and it's going to be tough to mix these diametrically opposed philosophies. Either the system is patient centered, or it’s geared toward another goal (like cost control).

If we’re patient centered, high cost and high quality care will be reuslts.

If we’re cost centered, we eventually get to a point where we tell patients “your care is too expensive, so we’re just going to relieve your suffering and stop treating.”

We’re trying to find the middle ground and it’s going to be tough to mix these diametrically opposed philosophies.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/01/heading-towards-japanese-health-system.html#comment-70448 Anonymous Tue, 16 Jan 2007 14:35:00 +0000 http://clients.emmense.com/kevinmd/2007/01/heading-towards-a-japanese-health-system.html#comment-70448 Anon at 2:19 - I agree. This is prevalent in other parts of the world as well, such as Russia and China. In fact, I heard of some Russians and Chinese in the US - not those who've lived in the US for a while, but very recent immigrants - who are asking their American doctors not to tell the truth to their relatives. Anon at 2:19 – I agree. This is prevalent in other parts of the world as well, such as Russia and China. In fact, I heard of some Russians and Chinese in the US – not those who’ve lived in the US for a while, but very recent immigrants – who are asking their American doctors not to tell the truth to their relatives.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/01/heading-towards-japanese-health-system.html#comment-70446 Anonymous Tue, 16 Jan 2007 07:19:00 +0000 http://clients.emmense.com/kevinmd/2007/01/heading-towards-a-japanese-health-system.html#comment-70446 ummm, chopped off the rest of my comment ...<br/><br/>my point was that the bit about Japanese docs not disclosing cancer diagnoses had nothing to do with how medicine was funded and everything to do with broader cultural norms in that part of the world. ummm, chopped off the rest of my comment …

my point was that the bit about Japanese docs not disclosing cancer diagnoses had nothing to do with how medicine was funded and everything to do with broader cultural norms in that part of the world.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/01/heading-towards-japanese-health-system.html#comment-70445 Anonymous Tue, 16 Jan 2007 07:18:00 +0000 http://clients.emmense.com/kevinmd/2007/01/heading-towards-a-japanese-health-system.html#comment-70445 I'm not stumping for the Japanese system (I'm actually with Kevin when it comes to suspicion about something for nothing government interventions). But the bit about whether Japanese docs tell patients about I’m not stumping for the Japanese system (I’m actually with Kevin when it comes to suspicion about something for nothing government interventions). But the bit about whether Japanese docs tell patients about

]]> By: Criminallopathhttp://www.kevinmd.com/blog/2007/01/heading-towards-japanese-health-system.html#comment-70444 Criminallopath Tue, 16 Jan 2007 07:10:00 +0000 http://clients.emmense.com/kevinmd/2007/01/heading-towards-a-japanese-health-system.html#comment-70444 Or we could continue with our system in which the supply of providers is strangled and legal feat is used to limit vast swaths of health care provision to this limited number of providers. Resultantly, millions of citizens go without access to care, rural and urban areas are grossly underserved and existing organized provider groups continue in their attempt to manipulate a credulous (not as credulous as in prior decades) populace into supporting the continued provider first system under the guise of patient advocate. Even the most ardent clinician supporter of the current training system and its results must realize that the inertia of the health care crisis (from the perspective of the populace) is gaining momentum by the day. There is only so much that one can blame the trial lawyers, drug companies and other assorted spooks until the populace realizes that they do not have to tolerate the system put in place by the implementation of the findings of the Flexner Report. Or we could continue with our system in which the supply of providers is strangled and legal feat is used to limit vast swaths of health care provision to this limited number of providers. Resultantly, millions of citizens go without access to care, rural and urban areas are grossly underserved and existing organized provider groups continue in their attempt to manipulate a credulous (not as credulous as in prior decades) populace into supporting the continued provider first system under the guise of patient advocate. Even the most ardent clinician supporter of the current training system and its results must realize that the inertia of the health care crisis (from the perspective of the populace) is gaining momentum by the day. There is only so much that one can blame the trial lawyers, drug companies and other assorted spooks until the populace realizes that they do not have to tolerate the system put in place by the implementation of the findings of the Flexner Report.

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