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	<title>Comments on: Why is universal health reform facing an uphill fight?</title>
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		<title>By: Rich, MD</title>
		<link>http://www.kevinmd.com/blog/2007/04/why-is-universal-health-reform-facing.html/comment-page-1#comment-73651</link>
		<dc:creator>Rich, MD</dc:creator>
		<pubDate>Thu, 05 Apr 2007 14:04:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/04/why-is-universal-health-reform-facing-an-uphill-fight.html#comment-73651</guid>
		<description>&lt;i&gt;I&#039;ve never once even seen a fentanyl lollipop! &lt;/i&gt;&lt;br/&gt;&lt;br/&gt;Ahh.. Here is the crux of the problem, well demonstrated by the above commenter.&lt;br/&gt;&lt;br/&gt;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.&lt;br/&gt;&lt;br/&gt;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.&lt;br/&gt;&lt;br/&gt;Not perfect, but it&#039;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.</description>
		<content:encoded><![CDATA[<p><i>I&#8217;ve never once even seen a fentanyl lollipop! </i></p>
<p>Ahh.. Here is the crux of the problem, well demonstrated by the above commenter.</p>
<p>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.</p>
<p>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.</p>
<p>Not perfect, but it&#8217;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.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/04/why-is-universal-health-reform-facing.html/comment-page-1#comment-73644</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Thu, 05 Apr 2007 00:48:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/04/why-is-universal-health-reform-facing-an-uphill-fight.html#comment-73644</guid>
		<description>&quot;1. Work for free&lt;br/&gt;2. Work 24/7&lt;br/&gt;3. Be liable for millions for every bad outcome, including nature.&lt;br/&gt;4. Fentanyl lollipops for everyone&quot;&lt;br/&gt;&lt;br/&gt;Is that the best list you can come up with? Why not post a little reality? &lt;br/&gt;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&#039;ve never once even seen a fentanyl lollipop!</description>
		<content:encoded><![CDATA[<p>&#8220;1. Work for free<br />2. Work 24/7<br />3. Be liable for millions for every bad outcome, including nature.<br />4. Fentanyl lollipops for everyone&#8221;</p>
<p>Is that the best list you can come up with? Why not post a little reality? <br />you do not work for free (give me a break)&#8230;. You do not work 24/7,&#8230;. show me the actual percentages of Drs. who have lost MILLIONS due to lawsuits,&#8230;. I&#8217;ve never once even seen a fentanyl lollipop!</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/04/why-is-universal-health-reform-facing.html/comment-page-1#comment-73619</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Wed, 04 Apr 2007 13:55:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/04/why-is-universal-health-reform-facing-an-uphill-fight.html#comment-73619</guid>
		<description>&quot;...yet offer no alternatives which have any effect on the patients.&quot;&lt;br/&gt;&lt;br/&gt;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.</description>
		<content:encoded><![CDATA[<p>&#8220;&#8230;yet offer no alternatives which have any effect on the patients.&#8221;</p>
<p>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.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/04/why-is-universal-health-reform-facing.html/comment-page-1#comment-73618</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Wed, 04 Apr 2007 13:31:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/04/why-is-universal-health-reform-facing-an-uphill-fight.html#comment-73618</guid>
		<description>Probably not.  Of course, that situation doesn&#039;t exist.</description>
		<content:encoded><![CDATA[<p>Probably not.  Of course, that situation doesn&#8217;t exist.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/04/why-is-universal-health-reform-facing.html/comment-page-1#comment-73614</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Wed, 04 Apr 2007 01:51:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/04/why-is-universal-health-reform-facing-an-uphill-fight.html#comment-73614</guid>
		<description>8:01,&lt;br/&gt;&lt;br/&gt;How about?&lt;br/&gt;&lt;br/&gt;1.  Work for free&lt;br/&gt;2.  Work 24/7&lt;br/&gt;3.  Be liable for millions for every bad outcome, including nature.&lt;br/&gt;4.  Fentanyl lollipops for everyone&lt;br/&gt;&lt;br/&gt;Would that work for you?</description>
		<content:encoded><![CDATA[<p>8:01,</p>
<p>How about?</p>
<p>1.  Work for free<br />2.  Work 24/7<br />3.  Be liable for millions for every bad outcome, including nature.<br />4.  Fentanyl lollipops for everyone</p>
<p>Would that work for you?</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/04/why-is-universal-health-reform-facing.html/comment-page-1#comment-73612</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Wed, 04 Apr 2007 01:01:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/04/why-is-universal-health-reform-facing-an-uphill-fight.html#comment-73612</guid>
		<description>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.</description>
		<content:encoded><![CDATA[<p>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.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/04/why-is-universal-health-reform-facing.html/comment-page-1#comment-73609</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Wed, 04 Apr 2007 00:05:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/04/why-is-universal-health-reform-facing-an-uphill-fight.html#comment-73609</guid>
		<description>&quot;The problem is with the public&quot;&lt;br/&gt;&lt;br/&gt;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&#039;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.</description>
		<content:encoded><![CDATA[<p>&#8220;The problem is with the public&#8221;</p>
<p>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&#8217;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.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/04/why-is-universal-health-reform-facing.html/comment-page-1#comment-73602</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 03 Apr 2007 20:44:00 +0000</pubDate>
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		<description>Has anything changed in 15 years?  You must be joking Kevin.&lt;br/&gt;&lt;br/&gt;The baby boomers are on the downside of their earnings stroke and haven&#039;t saved enough.  Business is wanting out from under the health care commitments it made years ago to compete with those who haven&#039;t.&lt;br/&gt;&lt;br/&gt;Nothing&#039;s changed?  You&#039;re deluding yourself if you think that.</description>
		<content:encoded><![CDATA[<p>Has anything changed in 15 years?  You must be joking Kevin.</p>
<p>The baby boomers are on the downside of their earnings stroke and haven&#8217;t saved enough.  Business is wanting out from under the health care commitments it made years ago to compete with those who haven&#8217;t.</p>
<p>Nothing&#8217;s changed?  You&#8217;re deluding yourself if you think that.</p>
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