Why is universal health reform facing an uphill fight?

April 3, 2007

The problem is with the public. A variety of papers examining Hillarycare’s first attempt blames the American people for, i) being too selfish; ii) having an excess of self-interest; and, iii) an inability to accept change.

Has anything changed today? Unlikely.



Related posts:

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  2. Health care is not a right: The fight continues in Colorado
  3. 10 things your insured patients need to know about health care reform
  4. What can health reform in the United States learn from Africa?
  5. How specialists view universal health care
  6. Will patients or doctors be the biggest obstacle impeding health care reform?
  7. Primary care incomes and universal health coverage


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{ 8 comments }

1 Anonymous April 3, 2007 at 3:44 pm

Has anything changed in 15 years? You must be joking Kevin.

The baby boomers are on the downside of their earnings stroke and haven’t saved enough. Business is wanting out from under the health care commitments it made years ago to compete with those who haven’t.

Nothing’s changed? You’re deluding yourself if you think that.

2 Anonymous April 3, 2007 at 7:05 pm

“The problem is with the public”

I beg to differ. The problem is with the idea of universal health care, any system for which destroys individual liberty and autonomy for what is a purely personal matter and not the public’s business. The problem is with the idea and kudos to the public for having enough of a vestigial love for liberty to keep it at bay so far.

3 Anonymous April 3, 2007 at 8:01 pm

The problem is also with the health care providers, who bitch incessantly about how the current system is broken, yet offer no alternatives which have any effect on the patients.

4 Anonymous April 3, 2007 at 8:51 pm

8:01,

How about?

1. Work for free
2. Work 24/7
3. Be liable for millions for every bad outcome, including nature.
4. Fentanyl lollipops for everyone

Would that work for you?

5 Anonymous April 4, 2007 at 8:31 am

Probably not. Of course, that situation doesn’t exist.

6 Anonymous April 4, 2007 at 8:55 am

“…yet offer no alternatives which have any effect on the patients.”

My best suggestion is to get the government out of healthcare altogether. The real root cause for many of the problems today is government over-regulation and interference with the practice of medicine.

7 Anonymous April 4, 2007 at 7:48 pm

“1. Work for free
2. Work 24/7
3. Be liable for millions for every bad outcome, including nature.
4. Fentanyl lollipops for everyone”

Is that the best list you can come up with? Why not post a little reality?
you do not work for free (give me a break)…. You do not work 24/7,…. show me the actual percentages of Drs. who have lost MILLIONS due to lawsuits,…. I’ve never once even seen a fentanyl lollipop!

8 Rich, MD April 5, 2007 at 9:04 am

I’ve never once even seen a fentanyl lollipop!

Ahh.. Here is the crux of the problem, well demonstrated by the above commenter.

As a practicing physician, I see hundreds of things every week that you have never seen (and likely never will). Peception is reality, however, and your perception is probably better than mine.

Here is an alternative that works for patients: Provide catastrophic coverage only, primary care is the patients responsibility, with tax-exempt HSAs to help defray the costs. Get government out. Provide grants for community based clinics for indigents. Stop paying for tylenol and condoms, and the rest of the medicaid fraud. Provide severe tax incentives so that middle-class people have no fincancial incentive for CHOOSING not to purchase low-cost catastrophic insurance.

Not perfect, but it’s one suggestion. Let economics and market forces work, and you will have efficiency and performance improvements because it is financially benficicial to the providers to have them and to the patients who have to foot the bill.

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