--- In [email protected], anonymousff <[EMAIL PROTECTED]> 
wrote:
> Like you, I am quite dissatisfied with the healthcare options /
> pricing in the US. My main point is that a majority of doctors 
> (those working for HMOs) don't have that much discretion over 
> the time they spend with patients, nor on what fees are charged. 
> The ones I talk to are frustrated at the system.

As well they should be.  Many of them were altruistic
before they became doctors, and now are not permitted
to give the kind of care they hoped to.

The bottom line with American health care is, sadly,
the "bottom line."  It's all about money -- money made
by the drug companies, by the hospitals and HMOs, by
the insurance companies (*especially* the insurance
companies), by the pharmacists, and by the doctors 
themselves.

The one hope I have for American health care is that
supposedly Michael Moore's next film is going to be
on this subject.  If he does his normal good job of
"pulling back the covers," it should reveal much to
Americans about the fact that lobbyists determine 
both the quality of their health care (low) and how
much it costs (high).

What to DO about it is another question entirely.  I
worked as a consultant for years within insurance
companies that specialize in health care.  The extent
they are willing to go to in order to maximize profit
is shocking and unconscionable.  I am pretty certain
that the HMOs and the drug companies are similarly
ruthless.  The chances of an American administration
and/or an American Congress being able to resist the
pressure and often outright bribes made by these
companies is, in my opinion, slight.  It's almost as
if it'll require junking the entire system and start-
ing over to fix it.  And how likely is that?

> As your example points out, health care is a lot more expensive to
> obtain in the US. But then again, so are the services of a software
> engineer. Just as a lot of software companies are outsourcing
> programmers to less expensive sources (than those "greedy" US
> programmers -- well they are as "greedy" as HMO doctors are), 
> more and more Americans are availing themselves of foreign 
> healthcare. 

Wow.  Isn't that a "wakeup call" for the American Dream?

<snip>

> I saw a news segment the other day on the Bumrungrad in Thailand.
> Ultra modern facility. A guy went for a heart bypass -- $50,000 
> in the US, $6000 at the Bumrungrad, with a surgeon who practiced 
> in the US for 15 years, state of the art medical equipment, a 
> hotel quality private room, and higher quality post-op care, a 
> team of RNs were assigned to him, no lower trained, short-staffed 
> attendants common in US hospitals. 

Here's an interesting recent article from Common Dreams.
It's by a political conservative who lives in France and
who had occasion to see the difference -- both in care and
in cost -- between the two systems:

http://www.commondreams.org/views01/0309-03.htm

Unc






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