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	<title>Comments on: Expanding coverage without access</title>
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		<title>By: Health Punk</title>
		<link>http://www.kevinmd.com/blog/2008/02/expanding-coverage-without-access.html/comment-page-1#comment-83490</link>
		<dc:creator>Health Punk</dc:creator>
		<pubDate>Mon, 11 Feb 2008 05:49:00 +0000</pubDate>
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		<description>Expanding coverage without access is as good as not expanding coverage at all.  As I&#039;m writing, I&#039;m seeing a news story about expanding coverage for all kids by 2010 in this state.&lt;br/&gt;&lt;br/&gt;Of course, we need both.&lt;br/&gt;&lt;br/&gt;Regarding John Washburn&#039;s post, it&#039;s near worthless otherwise.  It does what so many others do by using &quot;hot button&quot; terms to trigger emotional responses that  lead to no further critical thinking.  &quot;Hillary Care&quot; is about as vague a concept to most Americans as there is.  Many just don&#039;t like HRC.  I don&#039;t like her proposal, but for some specific reasons.&lt;br/&gt;&lt;br/&gt;It definitely not because of universal coverage (and universal access).&lt;br/&gt;&lt;br/&gt;It&#039;s interesting that there are so many assumptions loaded into his post.  Who is to say that there wouldn&#039;t be copayment, who is to say that universal access leads to flat salaries for primary care physicians, and who is to say that competition shouldn&#039;t still play a role?&lt;br/&gt;&lt;br/&gt;I fear that such perspectives lead people to reject the notion of universal coverage all together.</description>
		<content:encoded><![CDATA[<p>Expanding coverage without access is as good as not expanding coverage at all.  As I&#8217;m writing, I&#8217;m seeing a news story about expanding coverage for all kids by 2010 in this state.</p>
<p>Of course, we need both.</p>
<p>Regarding John Washburn&#8217;s post, it&#8217;s near worthless otherwise.  It does what so many others do by using &#8220;hot button&#8221; terms to trigger emotional responses that  lead to no further critical thinking.  &#8220;Hillary Care&#8221; is about as vague a concept to most Americans as there is.  Many just don&#8217;t like HRC.  I don&#8217;t like her proposal, but for some specific reasons.</p>
<p>It definitely not because of universal coverage (and universal access).</p>
<p>It&#8217;s interesting that there are so many assumptions loaded into his post.  Who is to say that there wouldn&#8217;t be copayment, who is to say that universal access leads to flat salaries for primary care physicians, and who is to say that competition shouldn&#8217;t still play a role?</p>
<p>I fear that such perspectives lead people to reject the notion of universal coverage all together.</p>
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