--- In [email protected], anonymousff <[EMAIL PROTECTED]> 
wrote:
> --- In [email protected], TurquoiseB <[EMAIL PROTECTED]> 
wrote:
> > The right therapy is the right therapy.  Sometimes it
> > involves drugs; sometimes it does not. My concern is
> > that too many doctors aren't interested enough in the
> > welfare of their patients to find what the right
> > therapy is.  It would take too much of their time.  So 
> > they just write a prescription.
> 
> I share you concerns. However, given a majority of doctors work for
> HMOs and have fairly rigid guidelines to follow, I think the issues
> you raise are not fully on the shoulders of HMO doctors.  Or the 
> HMOs.  HMOs compete and offer cost-effective services, for the 
> most part, for the fees they are paid. Most HMO subscriptions come 
> from corporate health plans. They pay what they do, trying to stay 
> competitive. Look at the mess GM is in over paying higher than 
> normal health benefits. 
> 
> A problem, not necessarily THE problem, is that people expect 
> optimal health from their corporate HMO health plans, and wrongly 
> vent and blame the doctors for 'short-changed' treatment. When in 
> reality, the doctor, nor the HMO, nor the corporation are fully 
> to blame. Or even substantially to blame. Employees get the level 
> of health benefits per their total compensation contract. Its 
> never optimal. People need to pay extra if they want extra. Its 
> a sad fact. 

I'll answer this because Americans really need to
understand a little more about this "hard fact."

It's a "hard fact" primarily in America, and primarily
because Americans don't DO anything about it.

I live right now in France.  Before I had health insur-
ance here, I had occasion to go to a doctor.  The doc-
tor welcomed me into his office, which was laid out
like a comfortable drawing room, as opposed to a sterile,
impersonal laboratory.  He did all the tests on me him-
self; no pawning me off on nurses and underlings.  He
spent over an hour with me and then wrote me a prescrip-
tion for the antibiotic I needed.  He apologized for
the cost of the antibiotics: "It's *outrageous* what
they cost these days," he said.

The doctor's visit cost me 20 Euros (25 bucks).  The
prescription cost 12 Euros (15 bucks).

Now I have health insurance, so I get reimbursed for
such things, pretty much 100%.  It's better coverage
than I had in the US.  Much better.  It costs me 320
Euros (400 bucks).

A year.

My health insurance back in the US cost me 600+ dollars
A MONTH.

The health care situation in America is not a "hard
fact."  It's a travesty, an abomination created by 
uncontrolled greed and a lack of respect for the basic
rights of individual citizens.

My brother's situation was just one example of it.  
There are many others.  Before Paris, I lived in New
Mexico, a state that is so poor that an estimated 
40% of its citizens have no health insurance at all, 
because they can't afford it.

I'm sorry to vent, as you so accurately put it, but
by moving to France I got to learn first-hand what
decent, *caring* health care really costs.  The policy
I have is from an insurance company; it is not supple-
mented in any way by contributions from the government.
The insurance company expects to make a *profit* by
selling full-year health coverage for 320 Euros, and
they do.

"Hard facts" are what we settle for.  Nothing more,
nothing less...

Unc






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