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	<title>Comments on: Will the doctor shortage impede universal care?</title>
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	<link>http://www.kevinmd.com/blog/2008/12/will-doctor-shortage-impede-universal.html</link>
	<description>medical blog</description>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/12/will-doctor-shortage-impede-universal.html/comment-page-1#comment-88508</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 06 Dec 2008 23:18:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/12/will-the-doctor-shortage-impede-universal-care.html#comment-88508</guid>
		<description>Flawed logic Kevin. (usually you are spot on). &lt;br/&gt;&lt;br/&gt;You want to solve the delivery side first? Um so and are you planning on just putting the people without coverage into a closet? &lt;br/&gt;&lt;br/&gt;People don&#039;t &quot;purchase&quot; health care doctors prescribe and control access. By telling us that we shouldn&#039;t provide coverage to people you are suggesting that this means they won&#039;t go to get care? &lt;br/&gt;&lt;br/&gt;Great then they will become sicker or simply use ER (97% of all er visits are by people with insurance). &lt;br/&gt;&lt;br/&gt;You seem to be so busy working that you have gotten lost inside your silo. &lt;br/&gt;&lt;br/&gt;The FIRST thing to do is universal coverage. The SECOND thing to do is ensure that people get the recommended care (less then 50% of the time) The THIRD is to get every doctor in the country to read the Dartmouth Atlas that proves that the more doctors in a region the more care is provided with NO increased in quality or outcomes. &lt;br/&gt;&lt;br/&gt;Doctors are the last ones we want to be in charge of our healthcare system. Where else do you have a monopoly that complains when primary care doc&#039;s are only being paid $150,000 a year. &lt;br/&gt;&lt;br/&gt;Open up slots in medical schools and pay for their education to smart middle class students who will work in primary care and in a few years we will have more then enough primary care doctors who aren&#039;t so greedy.</description>
		<content:encoded><![CDATA[<p>Flawed logic Kevin. (usually you are spot on). </p>
<p>You want to solve the delivery side first? Um so and are you planning on just putting the people without coverage into a closet? </p>
<p>People don&#8217;t &#8220;purchase&#8221; health care doctors prescribe and control access. By telling us that we shouldn&#8217;t provide coverage to people you are suggesting that this means they won&#8217;t go to get care? </p>
<p>Great then they will become sicker or simply use ER (97% of all er visits are by people with insurance). </p>
<p>You seem to be so busy working that you have gotten lost inside your silo. </p>
<p>The FIRST thing to do is universal coverage. The SECOND thing to do is ensure that people get the recommended care (less then 50% of the time) The THIRD is to get every doctor in the country to read the Dartmouth Atlas that proves that the more doctors in a region the more care is provided with NO increased in quality or outcomes. </p>
<p>Doctors are the last ones we want to be in charge of our healthcare system. Where else do you have a monopoly that complains when primary care doc&#8217;s are only being paid $150,000 a year. </p>
<p>Open up slots in medical schools and pay for their education to smart middle class students who will work in primary care and in a few years we will have more then enough primary care doctors who aren&#8217;t so greedy.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/12/will-doctor-shortage-impede-universal.html/comment-page-1#comment-88496</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 06 Dec 2008 03:57:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/12/will-the-doctor-shortage-impede-universal-care.html#comment-88496</guid>
		<description>Whoa... some people SEND their kids to med school?  I thought that&#039;s what loans and starving were for...&lt;br/&gt;&lt;br/&gt;--Future med student</description>
		<content:encoded><![CDATA[<p>Whoa&#8230; some people SEND their kids to med school?  I thought that&#8217;s what loans and starving were for&#8230;</p>
<p>&#8211;Future med student</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/12/will-doctor-shortage-impede-universal.html/comment-page-1#comment-88465</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Thu, 04 Dec 2008 04:11:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/12/will-the-doctor-shortage-impede-universal-care.html#comment-88465</guid>
		<description>It will get shorter very soon.  I don&#039;t know who can afford to send their child to med school.  According to the NY Times, college is becoming unaffordable.  Between 1982 and 2007, the average tuition increased 439% while the average median income rose just 147%.   &lt;br/&gt;&lt;br/&gt;http://www.nytimes.com/2008/12/03/education/03college.html?bl&amp;ex=1228453200&amp;en=a32b625bf9928825&amp;ei=5087</description>
		<content:encoded><![CDATA[<p>It will get shorter very soon.  I don&#39;t know who can afford to send their child to med school.  According to the NY Times, college is becoming unaffordable.  Between 1982 and 2007, the average tuition increased 439% while the average median income rose just 147%.   </p>
<p><a href="http://www.nytimes.com/2008/12/03/education/03college.html?bl&amp;ex=1228453200&amp;en=a32b625bf9928825&amp;ei=5087" rel="nofollow">http://www.nytimes.com/2008/12/03/education/03college.html?bl&amp;ex=1228453200&amp;en=a32b625bf9928825&amp;ei=5087</a></p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/12/will-doctor-shortage-impede-universal.html/comment-page-1#comment-88463</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Thu, 04 Dec 2008 00:38:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/12/will-the-doctor-shortage-impede-universal-care.html#comment-88463</guid>
		<description>There is no physician shortage.  There is a demand surplus.</description>
		<content:encoded><![CDATA[<p>There is no physician shortage.  There is a demand surplus.</p>
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