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US MANAGED CAREFrom: Bert Gold (bgold@itsa.ucsf.EDU)Wed Apr 10 19:01:38 1996
Doctors, Assuming that no US Medical Schools Close in the next four years, there will be 40,000 NEW US MD's in that time period. This, at a time, when the marketplace is largely saturated with MDs. Average MD salaries in the US are now FALLING! What the ACOG needs to do is to PROJECT what MD salaries will be in 4 years WITH THE CURRENT SYSTEM, and What MD Salaries would be if we adopted some new alternatives. I have spoken with many Medical School Deans and none have expressed to me a desire to close their medical schools (as the Pew Health Commissions report recommended in December 1995). It is important that you be aware of the following recent comments from abroad: From: Pete Mitchell <Pete@dmed.demon.co.uk> bgold@cgl.ucsf.edu "Bert Gold" writes: } } Hey, if NHS is so bad, how come all the strides in perinatal medical } care seem to be coming from Britan and the Netherlands (and Sweden) } to me? } } Examples: Nick Wald's periconceptional folic acid } supplemention, his triple test (expanded AFP) which prenatally } detects Downs Syndrome and Open Neural Tube Defects, and this } morning a note I got from a guy in Manchester (UK) which suggests } that he has a nutritional therapy for an admittedly relatively } rare genetic scourge named homocystinuria. } } OK, so I understand that there might be a wait for heart bypasses... } } But is the system really that bad back there in jolly old?..... } The NHS is supported by almost all Britons, even those 15% or less who take out additional private insurance so they can jump the queues for elective surgery. It has worked well and economically for 50 years. It isn't perfect, especially under a right-wing government, but no politician here would dream of suggesting its abolition, or the introduction of a private-only system. The British Medical Association would fight to the death to prevent that anyway.
-- Pete Mitchell
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