Ernie:
I like the overall approach in the article. Still, it isn't something
I can claim any research into. I'm feeling hopeless about the  debate,
which ever way it goes, what difference can I possibly make ?
But here was a point of view that made sense.
 
Billy
 
---------------------------------------
 
 
In a message dated 8/21/2009 2:06:56 P.M. Pacific Daylight Time,  
[email protected] writes:

Hi  Billy,  


On Aug 21, 2009, at 1:04 PM, [email protected]_ (mailto:[email protected])  
wrote:

If liberals really want to show they are serious, they should begin with  
our existing single-payer behemoths, Medicare and Medicaid. Cortese argues  
that the White House should mandate that, within three years, these programs  
will shift from the current fee-for-service approach to a system that pays  
for value -- that is, for delivering low-cost, high-quality care. If 
doctors  performed unnecessary tests that ballooned costs, their compensation 
would  be reduced. And doctors would be compensated by regional formulas, to  
encourage them to work cooperatively in local networks where they could all  
make more money by practicing better medicine. 



Wow, what a great idea!  I  doubt anyone would go for it, but I love the 
idea of first making the  government prove it can be more efficient, and only 
*then* giving it more  responsibility. :-)


-enp




=

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