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	<title>Comments on: Single-payer: &quot;The flaws are unacceptable&quot;</title>
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	<link>http://www.kevinmd.com/blog/2007/02/single-payer-flaws-are-unacceptable.html</link>
	<description>medical blog</description>
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		<title>By: vincent</title>
		<link>http://www.kevinmd.com/blog/2007/02/single-payer-flaws-are-unacceptable.html/comment-page-1#comment-72370</link>
		<dc:creator>vincent</dc:creator>
		<pubDate>Thu, 01 Mar 2007 23:10:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/02/single-payer-the-flaws-are-unacceptable.html#comment-72370</guid>
		<description>I would strongly recommend David Gratzer&#039;s The Cure. It illustrates many of the problems regarding the Canadian system and the American system.&lt;br/&gt;&lt;br/&gt;I am very surprised to read the support of the Mass Plan. Frankly, I don&#039;t want the government mandating anything for me. That being said, the plan&#039;s goal of providing care for everyone is laudible. However, it is still just a side-step around the issue of providing &quot;universal&quot; care. That plan&#039;s cost has been drastically under-estimated and under-funded.&lt;br/&gt;&lt;br/&gt;The fact is that everything and anything costs what it costs, period. Hiding those costs from consumers by artificially lowering prices or paying for things with federal tax dollars( ie your money run through the mill) doesn&#039;t change the fact that it still costs what it costs. Either people will self-ration or the government (like Canada) will ration for you. In  general, the current system in America hides the costs by having employers pay (with your pre-tax dollars) the insurance companies. You then consume the health care without regard for the cost; only concerned with &quot;does insurance cover it&quot;. This results in inefficent use of resources. Gratzer gives an excellent example of a new and expensive drug with an improved side-effect profile. Unfortunately, the vast majority of people who got it were &quot;well-insured&quot; (ie insulated from the true cost) whereas less &quot;well-insured&quot; people, who actually needed the drug, usually did not get it. Do you want the government to decide who should get that drug? Or do we let the price system reflect the underlying cost and have people self-ration. Like it or not those are the only choices. I would bet that the people who don&#039;t really need the new expensive drug will not buy it. They might even opt for an over-the-counter drug if they were exposed to the real cost.&lt;br/&gt;Finally,I hope that it is clear that the government can not possibly run any business as efficiently as the private sector. If anyone disagrees with that I would suggest reading about the horrendously inefficient use of electricity, materials, etc in the Soviet Union&#039;s industries relative to the the US private sector.</description>
		<content:encoded><![CDATA[<p>I would strongly recommend David Gratzer&#8217;s The Cure. It illustrates many of the problems regarding the Canadian system and the American system.</p>
<p>I am very surprised to read the support of the Mass Plan. Frankly, I don&#8217;t want the government mandating anything for me. That being said, the plan&#8217;s goal of providing care for everyone is laudible. However, it is still just a side-step around the issue of providing &#8220;universal&#8221; care. That plan&#8217;s cost has been drastically under-estimated and under-funded.</p>
<p>The fact is that everything and anything costs what it costs, period. Hiding those costs from consumers by artificially lowering prices or paying for things with federal tax dollars( ie your money run through the mill) doesn&#8217;t change the fact that it still costs what it costs. Either people will self-ration or the government (like Canada) will ration for you. In  general, the current system in America hides the costs by having employers pay (with your pre-tax dollars) the insurance companies. You then consume the health care without regard for the cost; only concerned with &#8220;does insurance cover it&#8221;. This results in inefficent use of resources. Gratzer gives an excellent example of a new and expensive drug with an improved side-effect profile. Unfortunately, the vast majority of people who got it were &#8220;well-insured&#8221; (ie insulated from the true cost) whereas less &#8220;well-insured&#8221; people, who actually needed the drug, usually did not get it. Do you want the government to decide who should get that drug? Or do we let the price system reflect the underlying cost and have people self-ration. Like it or not those are the only choices. I would bet that the people who don&#8217;t really need the new expensive drug will not buy it. They might even opt for an over-the-counter drug if they were exposed to the real cost.<br />Finally,I hope that it is clear that the government can not possibly run any business as efficiently as the private sector. If anyone disagrees with that I would suggest reading about the horrendously inefficient use of electricity, materials, etc in the Soviet Union&#8217;s industries relative to the the US private sector.</p>
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		<title>By: Marc</title>
		<link>http://www.kevinmd.com/blog/2007/02/single-payer-flaws-are-unacceptable.html/comment-page-1#comment-72297</link>
		<dc:creator>Marc</dc:creator>
		<pubDate>Wed, 28 Feb 2007 01:58:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/02/single-payer-the-flaws-are-unacceptable.html#comment-72297</guid>
		<description>Why do people have to post anonymously?  &lt;br/&gt;&lt;br/&gt;Use a fake name if you have to.  &lt;br/&gt;&lt;br/&gt;Nobody really cares what your name is, or who you are, but it would be nice to know if there are different anonymous&#039;s posting or just one.  &lt;br/&gt;&lt;br/&gt;It makes it a little easier to understand the debate.</description>
		<content:encoded><![CDATA[<p>Why do people have to post anonymously?  </p>
<p>Use a fake name if you have to.  </p>
<p>Nobody really cares what your name is, or who you are, but it would be nice to know if there are different anonymous&#8217;s posting or just one.  </p>
<p>It makes it a little easier to understand the debate.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/02/single-payer-flaws-are-unacceptable.html/comment-page-1#comment-72294</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Wed, 28 Feb 2007 00:08:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/02/single-payer-the-flaws-are-unacceptable.html#comment-72294</guid>
		<description>Since everyone will not be happy no matter what, and we will all get sick eventually no matter what, lets be free and sick and griping instead of giving up our freedom</description>
		<content:encoded><![CDATA[<p>Since everyone will not be happy no matter what, and we will all get sick eventually no matter what, lets be free and sick and griping instead of giving up our freedom</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/02/single-payer-flaws-are-unacceptable.html/comment-page-1#comment-72275</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 27 Feb 2007 16:01:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/02/single-payer-the-flaws-are-unacceptable.html#comment-72275</guid>
		<description>Or keep it the way it is.  I have no problem whatsoever with the current system.</description>
		<content:encoded><![CDATA[<p>Or keep it the way it is.  I have no problem whatsoever with the current system.</p>
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		<title>By: Kevin</title>
		<link>http://www.kevinmd.com/blog/2007/02/single-payer-flaws-are-unacceptable.html/comment-page-1#comment-72273</link>
		<dc:creator>Kevin</dc:creator>
		<pubDate>Tue, 27 Feb 2007 15:48:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/02/single-payer-the-flaws-are-unacceptable.html#comment-72273</guid>
		<description>You&#039;re right, there is no system that will make everyone happy.  &lt;br/&gt;&lt;br/&gt;I support the concept of an individual mandate, and prefer the approach to universal coverage as suggested by Massachusetts&#039; plan.&lt;br/&gt;&lt;br/&gt;Thanks,&lt;br/&gt;Kevin</description>
		<content:encoded><![CDATA[<p>You&#8217;re right, there is no system that will make everyone happy.  </p>
<p>I support the concept of an individual mandate, and prefer the approach to universal coverage as suggested by Massachusetts&#8217; plan.</p>
<p>Thanks,<br />Kevin</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/02/single-payer-flaws-are-unacceptable.html/comment-page-1#comment-72271</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 27 Feb 2007 15:31:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/02/single-payer-the-flaws-are-unacceptable.html#comment-72271</guid>
		<description>So we have umpteem posts by Kevin saying how unacceptable and horrible our current system is, now we have yet another saying how unacceptable and horrible an alternative will be.&lt;br/&gt;&lt;br/&gt;Pray tell, Kevin, what will make you happy?</description>
		<content:encoded><![CDATA[<p>So we have umpteem posts by Kevin saying how unacceptable and horrible our current system is, now we have yet another saying how unacceptable and horrible an alternative will be.</p>
<p>Pray tell, Kevin, what will make you happy?</p>
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		<title>By: Marc</title>
		<link>http://www.kevinmd.com/blog/2007/02/single-payer-flaws-are-unacceptable.html/comment-page-1#comment-72269</link>
		<dc:creator>Marc</dc:creator>
		<pubDate>Tue, 27 Feb 2007 15:16:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/02/single-payer-the-flaws-are-unacceptable.html#comment-72269</guid>
		<description>It&#039;s a matter of symantics.&lt;br/&gt;&lt;br/&gt;I agree, there may be a few people who want a strict single payer health care system, but others such as myself, see nothing wrong with a mix of single payer plus private supplemental health care, much like Medicare operates today.&lt;br/&gt;&lt;br/&gt;And neither would I object to instituting co-pays for all services rendered.</description>
		<content:encoded><![CDATA[<p>It&#8217;s a matter of symantics.</p>
<p>I agree, there may be a few people who want a strict single payer health care system, but others such as myself, see nothing wrong with a mix of single payer plus private supplemental health care, much like Medicare operates today.</p>
<p>And neither would I object to instituting co-pays for all services rendered.</p>
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