Comments on: Maybe we should throw money at the doctor shortage problem http://www.kevinmd.com/blog/2008/05/maybe-we-should-throw-money-at-doctor.html medical blog Sun, 22 Nov 2009 19:59:44 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Mike http://www.kevinmd.com/blog/2008/05/maybe-we-should-throw-money-at-doctor.html/comment-page-1#comment-85678 Mike Mon, 19 May 2008 01:10:00 +0000 http://clients.emmense.com/kevinmd/2008/05/maybe-we-should-throw-money-at-the-doctor-shortage-problem.html#comment-85678 anon 9:29. Since you have no idea what it takes to become a competent MD, then I can't expect you to understand that by promoting a system that encourages MD's to NOT do primary care, you invite a very bad situation for which there will be no solution when you need it. Good luck to you. anon 9:29. Since you have no idea what it takes to become a competent MD, then I can’t expect you to understand that by promoting a system that encourages MD’s to NOT do primary care, you invite a very bad situation for which there will be no solution when you need it. Good luck to you.

]]> By: Anonymous http://www.kevinmd.com/blog/2008/05/maybe-we-should-throw-money-at-doctor.html/comment-page-1#comment-85605 Anonymous Thu, 15 May 2008 02:29:00 +0000 http://clients.emmense.com/kevinmd/2008/05/maybe-we-should-throw-money-at-the-doctor-shortage-problem.html#comment-85605 If all that I am willing to pay is nursing wages, then all I deserve is nursing skills. It isn't up to you to make sure that I get to see a NP or PA or MD or anyone. Healthcare is a personal problem and it is my right to make sure that I am free to buy whatever care that I am willing to pay for. What is warping the system is the pernicious notion that it is anyone else's business. <br/><br/>If the public--and by that I mean sick people who want care-aren't willing to pay PCP's enough of a fee that people aren't willing to go through medical school and residency to work for that fee--then that public doesn't deserve to have a doctor taking care of them when they are sick. <br/><br/>By "public" I do not mean that ridiculous system that controls such a huge share of the pricing in medical care in which people who aren't in need of the service purport to assign it a value and price. <br/><br/>Don't carry on about the people who can't afford to pay. The poor aren't the problem. The problem are the great mass of people who willingly pay their bachelors level accountant 200$ an hour as I just did, and their plumber 100$ an hour as I just did, and pay 80$ a month for 140 TV channels when they aren't blowing around in 28,000 loaded suv's, but who feel put upon and whine and moan if they pay 80$ for an office visit with their physician.<br/><br/>I don't think PA's and NP's are just as good, but if that is all I am willing to pay for that is all I should get--that is how it works for everything else in my life, necessities and luxuries alike.<br/><br/>America will collectively get the medical care it collectively deserves to what degree there is a collectivized system. With individual liberty, we each will get the medical care that we each deserve. And physicians, with the charitable generosity which freedom encourages buy despotism crushes, will extend care to the poor as they always have. If all that I am willing to pay is nursing wages, then all I deserve is nursing skills. It isn’t up to you to make sure that I get to see a NP or PA or MD or anyone. Healthcare is a personal problem and it is my right to make sure that I am free to buy whatever care that I am willing to pay for. What is warping the system is the pernicious notion that it is anyone else’s business.

If the public–and by that I mean sick people who want care-aren’t willing to pay PCP’s enough of a fee that people aren’t willing to go through medical school and residency to work for that fee–then that public doesn’t deserve to have a doctor taking care of them when they are sick.

By “public” I do not mean that ridiculous system that controls such a huge share of the pricing in medical care in which people who aren’t in need of the service purport to assign it a value and price.

Don’t carry on about the people who can’t afford to pay. The poor aren’t the problem. The problem are the great mass of people who willingly pay their bachelors level accountant 200$ an hour as I just did, and their plumber 100$ an hour as I just did, and pay 80$ a month for 140 TV channels when they aren’t blowing around in 28,000 loaded suv’s, but who feel put upon and whine and moan if they pay 80$ for an office visit with their physician.

I don’t think PA’s and NP’s are just as good, but if that is all I am willing to pay for that is all I should get–that is how it works for everything else in my life, necessities and luxuries alike.

America will collectively get the medical care it collectively deserves to what degree there is a collectivized system. With individual liberty, we each will get the medical care that we each deserve. And physicians, with the charitable generosity which freedom encourages buy despotism crushes, will extend care to the poor as they always have.

]]> By: Mike http://www.kevinmd.com/blog/2008/05/maybe-we-should-throw-money-at-doctor.html/comment-page-1#comment-85591 Mike Wed, 14 May 2008 00:59:00 +0000 http://clients.emmense.com/kevinmd/2008/05/maybe-we-should-throw-money-at-the-doctor-shortage-problem.html#comment-85591 Anon 6:25, but then when you need one and you've already driven out the ones because of poor reimbursement, then what? Tell you what, we'll make sure you get to see an NP or PA, after all, that's a cheaper and just-as-good alternative, right? Anyway, insurers are reaping the benefits of your system.<br/><br/>Just like america gets the president it deserves, they will also get the medical care they deserve. Anon 6:25, but then when you need one and you’ve already driven out the ones because of poor reimbursement, then what? Tell you what, we’ll make sure you get to see an NP or PA, after all, that’s a cheaper and just-as-good alternative, right? Anyway, insurers are reaping the benefits of your system.

Just like america gets the president it deserves, they will also get the medical care they deserve.

]]> By: Anonymous http://www.kevinmd.com/blog/2008/05/maybe-we-should-throw-money-at-doctor.html/comment-page-1#comment-85586 Anonymous Tue, 13 May 2008 23:25:00 +0000 http://clients.emmense.com/kevinmd/2008/05/maybe-we-should-throw-money-at-the-doctor-shortage-problem.html#comment-85586 Maybe we should stop interfering and let the American people decide, when they chose to open or not open their wallet, whether their is or is not a doctor shortage. Centralized determinations of price and supply never work out well. Maybe we should stop interfering and let the American people decide, when they chose to open or not open their wallet, whether their is or is not a doctor shortage. Centralized determinations of price and supply never work out well.

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