On Mon, Aug 3, 2009 at 11:17 AM, Larry L wrote:

>
> What choice do you have now. You either use the insurance provider's
> network or you pay through the nose. Some choice. It would seem to me that a
> single payer system offers more choice, since all but a very small minority
> of doctors are a part of it. You can go see any physician who is willing to
> accept you as a patient.
>

The risk, if we go to a single-payer system that pays low rates like
Medicare, is that the best, most experienced physicians will opt out of the
new system altogether and either go private pay or leave the profession.
Moreover, we'll be stuck with a system where people incur huge costs to
become physicians, have huge financial exposure because of U.S. malpractice
law (unlike the U.K. and Canada), but lack the ability to reap the rewards
the system used to offer. The result? Fewer physicians when we need more
physicians, and no simple fix to change the formula.


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