Because you can walk out the door in the morning, without a care in the world, with the certainty that if you get hit by a drunken driver crossing the street, you won’t turn up to a hospital, and the doctor checks your back pocket before attempting to fix your up, or worse be shuffled from hospital to hospital because your health insurance company refuses to pay the $$$ to put you right again.
It’s funny that you mention that … everyone outside the USA doesn’t expect to get ANY health care in the USA. Health insurance cover for a 2 week holiday in the USA costs a small fortune.
The thing about efficiency, is that 100% utilization = inability to meet peak demand.
It’s too much to hope that a government can run any system efficiently as they are generally required to have capacity to cope with peak demand, but at the same time, so long as it’s there - fix the system. Why is it so inefficient? Is someone buying $100,000 toilet seats?
[QUOTE=maineman;2410448]No matter how altruistic and noble the goal, you can’t operate [I]“any”[/I] business when your expenditures exceed your revenue.
And this is where americans and the rest of the world differ on opinions.
Healthcare is NOT a business, it is a service. You cannot measure the benefits, of a public healthcare system, to society in monetary terms alone. It’s so very … Americana … to suggest healthcare should be run as a business.
[QUOTE=maineman;2410448]How about Social Security?..another horribly and incompetently run Federal program…and dare I say…all but bankrupt.
Another service. Have some empathy for your fellow man when they’re down & out. It (hopefully) reduces crime.
Perhaps a different attitude would be a work scheme … instead of paying people to be unemployed, have them do some gardening in council parks, cleanup highways, supervise parks, train them up as basic medical officers … all they have to do is walk the streets & make sure everyones OK, heck, they can be the the guy/girl with the lollypop, to help children/the elderly to cross the street.
Universal Healthcare system takes care of everyone. Give them a slightly higher unemployment benefit … or better still, find them something within their capabilites to do, so they don’t feel useless. Heck, make them teachers aides in schools - help trouble kids by making vets mentors to provide life guidance!
[QUOTE=maineman;2410448]Let’s cap the physician’s fees…yeah, that’ll work well.
Let’s see…4 years undergrad and 4 years medical school.
That’s 8 years of runaway debt without gainful employment.
[/quote] Subsidised Education, heck, Free education - with a contract for 4years work in less-desirable locations as a general physician. They still get a choice, but the government gets the benefit of a medical presence in remote locations, or otherwise. Failure to comply with the 4years indentured labour results in the education costs reinstated. Pay them fair rates.
Unfortunately competence requires experience, and lots of it.
[QUOTE=maineman;2410448]Yup, let’s cap the income at $70-75K
$300,00-450,000 in debt and no hope of even climbing out of debt until middle-age. Then you add in the shitty hours, endless red-tape and regulations, and filling out the mandated forms ad nauseum (oh, you get to do it electronically now…that’s so nice). You’ll get to see most patients in 15- minute blocks and actually spend 3 minutes interacting with the patient. This includes telling the patient your plan-of care, after you’ve [I]listened[/I] to them, assessed them, and run the differential diagnoses in your head.
The 15 minutes also includes the time it takes to dictate/type up your session and type out the prescription and sent it along electronically.
The patients, in particular, appreciate all the time given to them. Just ask 'em
Anyone want to comment on their last trip to the Emergency Room, etc., and how much quicker and more efficient the process is now than say 20 years ago?
Gee, I wonder where the line starts for this career with its Federally regulated salary.
You let this happen and you’ll get much [I]“more”[/I] than what you pay for…mediocre health care and it’ll be severely rationed health care to boot.[/QUOTE] Capping the salaries is not a solution. Ever. Make the career choice easier - heck promote the unemployed to a data entry operator to transcribe discussions of symptoms and resolutions. Save the doctors to use their strengths. Might allow them to process patients a tad faster. I’ve been to visit doctors which take 2-3minutes for a simple diagnoses, and then the doctors spend another 5 minutes typing everything in, using the one finger fantastic.
Heck, what every system needs is creative solutions, not just complaints.
Have a positive attitude, and be a can-do person.
The current system doesn’t work. Make some changes, could it really be that much worse?
As much as everyone points to the British/Canadian health care systems 6-9 month waiting lines … these waiting lines are for non-urgent/elective surgery … emergencies &/or time critical procedures are processed quickly & efficiently - other services like physiotherapy are processed quickly & efficiently.
Doctors contribution to society is highly under-rated. More emphasis, and recognition, of doctors contribution to society, and less emphasis regarding $$$ needs to be made to make the positions more attractive.