According to DrRich:
Whatever success may be enjoyed by the rational and humanitarian Canadian healthcare system – as tenuous as that success may be – is largely dependent on the continued existence of the irrational, unfair, wasteful American healthcare system.
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- Why health reform is going to be difficult, and the trouble with saying no to American patients
- Food policy at the root of health reform?
- Health care reform: "The root of the problem is obvious"
- So health care is going to be a right . . .
- Is health care prohibition in our future?
- Rising health care costs
- What can health reform in the United States learn from Africa?
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It’s not the malpractice insurance premiums that drive up health care costs, although an obstetrician in Illinois paying a quarter million a year might disagree. It is all of us doctors who have learned (painfully) that we need to practice “CYA medicine”. I order less tests than nearly all of my colleague emergency physicians at U of Illinois Hospital. Still, my % positive of head CTs is in the single digits, and I knowingly order far, far more tests and admissions than are medically warranted. We practice as if every patient who walks in might be the one with the rare disorder masquerading as the common one. When we hear hoofbeats, we test for zebras, because one day it might be that zebra and if we ever miss it, we will surely end up in a courtroom.
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