Yes, the US can do a much better job. And is doing a much better job
in some communities.
      The best data I've seen on all this is presented by Atul Gawande
in his June 1, 2009, article in the New Yorker magazine, "The Cost
Conundrum." In it he compares the worst and best US communities for
health care and health costs. He found that the lowest cost
communities offered the best health care. Amazing! Why? Because the
worse ones focused on maximizing doctors' income through testing,
referrals and entrepreneurial strategies. The best ones focused on the
needs of the patient. One is a quantity driven system, the other an
accountable care system. If you'd like to read the article it is at
newyorker.com/reporting/2009/06/01.
     The Wall St. Journal opinion piece is typical WSJ - one side only
but cloaked in a cover of reasonable sayings. I don't really care to
get into it much.
     Francis says that the two major issues are (to condense) 1.
costs, and 2. allocating costs. The New Yorker article shows that the
major issue is - will we focus on doctors' income or patient care?
Hopefully it is the latter.  Jim

On Sep 4, 5:54 am, Molly Brogan <[email protected]> wrote:
> I guess what I am saying is that in regard to the price of health
> care, I know the US can do a much better job and determining what is
> necessary and stopping the inordinate use of medical tests as a
> business that so many doctors and hospitals now employ in order to
> make money.  We all pay the price constant testing and over
> prescribing of medication as a medical model here in the US.
>
> On Sep 4, 8:38 am, "[email protected]" <[email protected]>
> wrote:
>
>
>
> > Yes we do, and water rates and VAT and road tax, and PAYE, and council
> > tax, and congestion charge and numerous other taxes.
>
> > On 4 Sep, 13:31, Molly Brogan <[email protected]> wrote:
>
> > > I suppose you are right, we can't put a price on human life.  But we
> > > all pay a price for healthcare, and that price is always quite high.
> > > Even for people who have no insurance, they pay the price in inability
> > > to secure employment that supplies it,
>
> > > On Sep 4, 5:51 am, "[email protected]" <[email protected]>
> > > wrote:
>
> > > > I have just read through this article and you are right it is
> > > > chillingly frightening.
>
> > > > This bit here is an outright lie:
>
> > > > 'Dr. Emanuel concedes that his plan appears to discriminate against
> > > > older people, but he explains: "Unlike allocation by sex or race,
> > > > allocation by age is not invidious discrimination. . . . Treating 65
> > > > year olds differently because of stereotypes or falsehoods would be
> > > > ageist; treating them differently because they have already had more
> > > > life-years is not.'
>
> > > > Treating anybody differantly based on age IS discrimination based up
> > > > on age, not matter how one dresses the logic up.
>
> > > > The whole story sums up nicely that at least this bloke belives it IS
> > > > acceptible to put a price on human life, that I would call dispicable.
>
> > > > On 4 Sep, 07:38, Don Johnson <[email protected]> wrote:
>
> > > > > This is a very interesting article.  I'm not suggesting we'll end up
> > > > > with something like this but it certainly makes for chilling reading.
> > > > > One major problem with current doctors(according to Dr. Emanuel) is
> > > > > the Hippocratic Oath.  It's all very coldly logical and would be very
> > > > > effective in reducing costs I believe.  If I got to keep the
> > > > > sweetheart health care our law makers get I'd probably vote for it
> > > > > myself.
>
> > > > >http://online.wsj.com/article/SB1000142405297020370660457437446328009...
>
> > > > > How 'bout you?
>
> > > > > dj- Hide quoted text -
>
> > > - Show quoted text -- Hide quoted text -
>
> - Show quoted text -

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