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	<title>Comments on: ER visits and health care costs rise in Massachusetts due to lack of primary care access</title>
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	<link>http://www.kevinmd.com/blog/2009/04/er-visits-and-health-care-costs-rise-in.html</link>
	<description>medical blog</description>
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		<title>By: K</title>
		<link>http://www.kevinmd.com/blog/2009/04/er-visits-and-health-care-costs-rise-in.html/comment-page-1#comment-91902</link>
		<dc:creator>K</dc:creator>
		<pubDate>Sun, 07 Jun 2009 05:02:09 +0000</pubDate>
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		<description>&quot;…I am so sick and tired of this yea soak the rich attitude…you want my money come and get it…&quot;

I am  so sick and tired of this hyper-individualist materialistic attitude...</description>
		<content:encoded><![CDATA[<p>&#8220;…I am so sick and tired of this yea soak the rich attitude…you want my money come and get it…&#8221;</p>
<p>I am  so sick and tired of this hyper-individualist materialistic attitude&#8230;</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2009/04/er-visits-and-health-care-costs-rise-in.html/comment-page-1#comment-91896</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sun, 07 Jun 2009 01:16:19 +0000</pubDate>
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		<description>I own a small Business and I can&#039;t wait for this to happen...bring it on...the government has taken over banks, auto companies and now lets move on to health care the faster we do this the sooner people will realize socialism is a disaster and we can return to sanity...if you think the auto industry is temporary I will remind you of Amtrack that was suppose to turn around in three years.  Lets destroy this economy quickly the faster the better then we can repeal all of these ridiculous government programs...I am so sick and tired of this yea soak the rich attitude...you want my money come and get it...you don&#039;t care that I employ  people and the people I employ think they are getting the short end and I should pay more...well if you don&#039;t care about me, don&#039;t care about the company that employs you and puts food on your table then I don&#039;t care about you...can&#039;t wait to hand out those pink slips and pay cuts...I will call it the socialist reform act for my business and laugh at you for getting what you asked for...or maybe I will just retire, shutdown sell all of my assets and kick back on one of the islands laughing at the mess you have created.

Thanks HadEnough</description>
		<content:encoded><![CDATA[<p>I own a small Business and I can&#8217;t wait for this to happen&#8230;bring it on&#8230;the government has taken over banks, auto companies and now lets move on to health care the faster we do this the sooner people will realize socialism is a disaster and we can return to sanity&#8230;if you think the auto industry is temporary I will remind you of Amtrack that was suppose to turn around in three years.  Lets destroy this economy quickly the faster the better then we can repeal all of these ridiculous government programs&#8230;I am so sick and tired of this yea soak the rich attitude&#8230;you want my money come and get it&#8230;you don&#8217;t care that I employ  people and the people I employ think they are getting the short end and I should pay more&#8230;well if you don&#8217;t care about me, don&#8217;t care about the company that employs you and puts food on your table then I don&#8217;t care about you&#8230;can&#8217;t wait to hand out those pink slips and pay cuts&#8230;I will call it the socialist reform act for my business and laugh at you for getting what you asked for&#8230;or maybe I will just retire, shutdown sell all of my assets and kick back on one of the islands laughing at the mess you have created.</p>
<p>Thanks HadEnough</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2009/04/er-visits-and-health-care-costs-rise-in.html/comment-page-1#comment-91017</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sun, 26 Apr 2009 18:20:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2009/04/er-visits-and-health-care-costs-rise-in-massachusetts-due-to-lack-of-primary-care-access.html#comment-91017</guid>
		<description>It&#039;s alright if politicians are focused on their wallets as long as their jobs depend on making their constituencies happy. &lt;br /&gt;&lt;br /&gt;Caring about their wallets is only problematic when campaigns are financed by entrenched interests... Fix campaign finance and health care will come next.</description>
		<content:encoded><![CDATA[<p>It&#8217;s alright if politicians are focused on their wallets as long as their jobs depend on making their constituencies happy. </p>
<p>Caring about their wallets is only problematic when campaigns are financed by entrenched interests&#8230; Fix campaign finance and health care will come next.</p>
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		<title>By: Mike</title>
		<link>http://www.kevinmd.com/blog/2009/04/er-visits-and-health-care-costs-rise-in.html/comment-page-1#comment-91016</link>
		<dc:creator>Mike</dc:creator>
		<pubDate>Sun, 26 Apr 2009 16:50:00 +0000</pubDate>
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		<description>Carla, I think trying to have a workable solution in place BEFORE experimenting with the overburdened ER system would have been more prudent. Especially if Kevin and anyone else with any sense could have told you this would happen. &lt;br /&gt;&lt;br /&gt;Gee, what if physicians who had &quot;been there&quot; were spearheading this, instead of a bunch of politicians and administrators with little experience and obvious self-interests. Just a dream, I guess.</description>
		<content:encoded><![CDATA[<p>Carla, I think trying to have a workable solution in place BEFORE experimenting with the overburdened ER system would have been more prudent. Especially if Kevin and anyone else with any sense could have told you this would happen. </p>
<p>Gee, what if physicians who had &#8220;been there&#8221; were spearheading this, instead of a bunch of politicians and administrators with little experience and obvious self-interests. Just a dream, I guess.</p>
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		<title>By: Carla Kakutani MD</title>
		<link>http://www.kevinmd.com/blog/2009/04/er-visits-and-health-care-costs-rise-in.html/comment-page-1#comment-90998</link>
		<dc:creator>Carla Kakutani MD</dc:creator>
		<pubDate>Sat, 25 Apr 2009 04:35:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2009/04/er-visits-and-health-care-costs-rise-in-massachusetts-due-to-lack-of-primary-care-access.html#comment-90998</guid>
		<description>So we have a chicken and egg problem: do we wait health care reform until we have revived US primary care, or is that even possible without health care reform to create the disruption needed to change our entrenched fee for service, procedure happy payment system that is killing off primary care?&lt;br /&gt;If the administration is smart (and I think it is) they will build in a solution to this conundrum in their proposal.</description>
		<content:encoded><![CDATA[<p>So we have a chicken and egg problem: do we wait health care reform until we have revived US primary care, or is that even possible without health care reform to create the disruption needed to change our entrenched fee for service, procedure happy payment system that is killing off primary care?<br />If the administration is smart (and I think it is) they will build in a solution to this conundrum in their proposal.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2009/04/er-visits-and-health-care-costs-rise-in.html/comment-page-1#comment-90997</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 25 Apr 2009 02:44:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2009/04/er-visits-and-health-care-costs-rise-in-massachusetts-due-to-lack-of-primary-care-access.html#comment-90997</guid>
		<description>The only point of focus for the &quot;policymakers&quot; is their own wallet. Sad but true. Did you see any real, honest debate among politicians regarding healthcare ?  Even the healthcare reform bill will be passed under the radar, like the stimulus bill.</description>
		<content:encoded><![CDATA[<p>The only point of focus for the &#8220;policymakers&#8221; is their own wallet. Sad but true. Did you see any real, honest debate among politicians regarding healthcare ?  Even the healthcare reform bill will be passed under the radar, like the stimulus bill.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2009/04/er-visits-and-health-care-costs-rise-in.html/comment-page-1#comment-90985</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 24 Apr 2009 20:31:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2009/04/er-visits-and-health-care-costs-rise-in-massachusetts-due-to-lack-of-primary-care-access.html#comment-90985</guid>
		<description>I&#039;m not sure that I would call it a disaster, it&#039;s a few halting steps in the right direction.  &lt;br /&gt;&lt;br /&gt;After all, a spike in ER visits and increasing ER costs don&#039;t cripple our health-care system in the short term, but correctly focuses the attention of policymakers onto primary care, which is the solution to our long term problems.</description>
		<content:encoded><![CDATA[<p>I&#8217;m not sure that I would call it a disaster, it&#8217;s a few halting steps in the right direction.  </p>
<p>After all, a spike in ER visits and increasing ER costs don&#8217;t cripple our health-care system in the short term, but correctly focuses the attention of policymakers onto primary care, which is the solution to our long term problems.</p>
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