Comments on: Did the Massachusetts health plan just get bailed out? http://www.kevinmd.com/blog/2008/10/did-massachusetts-health-plan-just-get.html Tue, 14 Feb 2012 22:04:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2008/10/did-massachusetts-health-plan-just-get.html#comment-87485 Anonymous Wed, 01 Oct 2008 18:07:00 +0000 http://clients.emmense.com/kevinmd/2008/10/did-the-massachusetts-health-plan-just-get-bailed-out.html#comment-87485 Would inaction be preferable? All to often, nothing changes because it is too difficult to resolve every little detail...ok, maybe in this case its a great BIG detail. But at least some sort of progress is being made. Would inaction be preferable? All to often, nothing changes because it is too difficult to resolve every little detail…ok, maybe in this case its a great BIG detail. But at least some sort of progress is being made.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/10/did-massachusetts-health-plan-just-get.html#comment-87484 Anonymous Wed, 01 Oct 2008 14:59:00 +0000 http://clients.emmense.com/kevinmd/2008/10/did-the-massachusetts-health-plan-just-get-bailed-out.html#comment-87484 The guy in the mirror.<br/><br/>At first, the doctors would be "bailing out" the patient, by effectively lending the costs of service when the government doesn't pay, and then eventually the patient, when the doctor has exhausted his willingness or ability to function as a consumer lender.<br/><br/>There is no such thing as a free lunch.<br/><br/>A government system will require real costs and consumption controls, meaning real and firm rationing and overall controls on transaction costs, including liability insurance costs. There will be no other way. The guy in the mirror.

At first, the doctors would be “bailing out” the patient, by effectively lending the costs of service when the government doesn’t pay, and then eventually the patient, when the doctor has exhausted his willingness or ability to function as a consumer lender.

There is no such thing as a free lunch.

A government system will require real costs and consumption controls, meaning real and firm rationing and overall controls on transaction costs, including liability insurance costs. There will be no other way.

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