Re: Health Care
From: Gordon Goldman (obgyndoc@swbell.net)
Fri Jul 31 09:48:43 2009
Andrew,
I don't know what you are smoking, but if you have any left over, I
could use some of it.
With regard to cutting fees by 50%, take a look at insurance
reimbursements from the 80s and compare them to today. They are at
least 50% less in most cases, if not more. People got the care they
needed and the number/% of uninsured was much less than today. So, in
answer to the question of how would one feel if the reimbursement was
cut 50%, how do you feel?
Gordon
On Jul 31, 2009, at 9:19 AM, Andrew Folley wrote:
> Let me rephrase my proposal. How about if we start the program with
> next years incoming medical students. "If we accept you to our
> medical school you will have a mandatory committment to govt service
> for a minimum of 2 yrs and not more than 4 afters your 1 yr primary
> care internship. For every year of service, 1 yr medical school
> will be paid for. (ie Ricks 180K). You will then be assigned to
> serve in underserved area for 2 to 4 years depending on how many
> years med school is paid for. (your choice of area) you get a fixed
> income (comparable to private docs in area) with bonus incentive
> based on quality factors (not quantity). renewable contracts
> optional after that. After committment finished you can go into
> residency and specialty of your choice. Upside is that the 15% of
> uninsured will be assigned to a primary care doc in their geographic
> location (ie minimal choice for them).. PS who of us on this list
> said in our med school interview that we "wanted to be doctors so we
> could make lots of money"?? I am sure our answer was "I want to
> help people"??
>
> > Date: Fri, 31 Jul 2009 01:18:49 -0500
> > From: rchudacoff@mylinuxisp.com
> > To: ob-gyn-l@mail.obgyn.net
> > Subject: Re: Health Care
> >
> > El
> > How much did you pay for medical school. I took out a loan for
> $180,000
> >
> > Richard Chudacoff, MD, FACOG
> > Sent from my iPhone
> >
> > On Jul 30, 2009, at 10:59 PM, Dr Eberhard Wl Lisse <el@lisse.na>
> wrote:
> >
> > > Why does Health Care work in other industrialized countries?
> > >
> > > el
> > >
> > > On 31 Jul 2009, at 04:51 , Gordon Goldman wrote:
> > >
> > >> Well put, Doug. Perhaps some on the list are not aware of the
> > >> development/history of the practice of medicine into the
> 'industry
> > >> of medicine' in this and other countries around the world.
> > >> Acceptance of a paid position opens the door to the 'veterinarian
> > >> mentality' in medical practice, whereby you treat the person that
> > >> writes your paycheck (closed HMO panels, governmental agencies,
> > >> hospital employed physicians) and do what they want done, as
> > >> opposed to what may be the best medical interests of the patient.
> > >> Those who fail to learn from history (the failure of governmental
> > >> systems in other countries) are destined to repeat it.
> > >>
> > >> Gordon
> > >
>
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