Archive for July 28th, 2009

Must Read: 10 Questions re: Healthcare Reform

July 28, 2009

Ken’s Take: Why weren’t any of these questions asked at last week’s press conference?

This guy cuts to the chase …

* * * * *

Exreacted from RCP, “10 Questions for Supporters of ObamaCare”, Dennis Prager,  July 28, 2009

1. If Medicare and Medicaid are fiscally insolvent and gradually bankrupting our society, why is a government takeover of medical care for the rest of society a good idea?  Why not simply see how the Democrats can reform Medicare and Medicaid before nationalizing much of the rest of health care?

2. President Obama reiterated this past week that “no insurance company will be allowed to deny you coverage because of a pre-existing medical condition.”  But if any individual can buy health insurance at any time, why would anyone buy health insurance while healthy? Why would I not simply wait until I got sick or injured to buy the insurance? The whole point of insurance is that the healthy buy it and thereby provide the funds to pay for the sick. And if the answer is that the government will now make it illegal not to buy insurance, how will that be enforced? How will the government check on 300 million people? Will  life insurance companies also be forced to sell life insurance to the terminally ill?  

3. Why do supporters of nationalized medicine so often substitute the word “care” for the word “insurance?” it is patently untrue that millions of Americans do not receive health care. Millions of Americans do not have health insurance but virtually every American (and non-American on American soil) receives health care.

4. No one denies that in order to come close to staying within its budget health care will be rationed. But what is the moral justification of having the state decide what medical care to ration?

5.  Given how many lives — in America and throughout the world – American pharmaceutical companies save, and given how expensive it is to develop any new drug, will the price controls on drugs envisaged improve or impair Americans’ health?  While 20 years ago pharmaceuticals were largely developed in Europe, European price controls made drug development an American enterprise. Fifteen of the 20 top-selling drugs worldwide this year were birthed in the United States.

6. Do anyone really believe that private insurance could survive a “public option” … given that private companies have to show a profit and government agencies do not have to – and given that a private enterprise must raise its own money to be solvent and a government option has access to others’
money — i.e., taxes?

7. Why will hospitals, doctors, and pharmaceutical companies do nearly as superb a job as they now do if their reimbursement from the government will be severely cut? Haven’t the laws of human behavior and common sense been repealed here in arguing that while doctors, hospitals and drug companies will make significantly less money they will continue to provide the same level of uniquely excellent care?

8. Given how many needless procedures are ordered to avoid medical lawsuits and how much money doctors spend on medical malpractice insurance, shouldn’t any meaningful “reform” of health care provide some remedy for frivolous malpractice lawsuits?

9. Given how weak the U.S. economy is, given how weak the U.S. dollar is, and given how much in debt the U.S. is in, why would anyone seek to have the U.S. spend another trillion dollars?

10. Contrary to the assertion of President Obama — “we spend much more on health care than any other nation but aren’t any healthier for it” — we are healthier. Our life expectancy with virtually any major disease is longer. And if you do not count deaths from violent crime and automobile accidents, we also have the longest life expectancy. Do you think a government takeover of American medicine will enable this medical excellence to continue?

Full article:
http://www.realclearpolitics.com/articles/2009/07/28/10_questions_for_supporters_of_obamacare_97651.html

* * * * *

Patient: “I need to see the doctor” … Receptionist: “What are you doing 7 weeks from Tuesday at 1:30 ?” … sound familiar?

July 28, 2009

Real case :   Wife Kathy called to get an appointment with a demotologist to have a suspicious mark checked out.  First open slot – mid October… in 10 weeks.

Ken’s Take: So, will cutting pay rates for docs increase or decrease the supply of doctors – who get trained & certified, and who stay in the doctoring business.  Do any of the bills being circulated provide for more seats at existing med schools or funding new medical schools.  Answer: no.

* * * * *

Knowledge@Wharton,  Another Hurdle to Health Care Reform: Too Few General Practice Doctors,  July 22, 2009 

According to a recent survey by Merritt Hawkins, the average wait time to see a family doctor for a routine physical ranged from seven days in Miami to 63 days in Boston.

In eight of 15 metropolitan areas surveyed by the company, it took at least 14 days to be seen by a family physician.

Why ?

The American Association of Medical Colleges (AAMC) projects that … there will be a be a shortage of 124,000 doctors of all types by 2025, although the number could climb to as high as 159,000.

The supply of primary care physicians is already tight in some parts of the country, and finding a general practice doctor will probably become even harder if the pool of insured Americans expands.

“The biggest chokepoint in the health care system will be the availability of primary care doctors,”  … The physician bodies just aren’t there.”

Experts are particularly worried about a dearth of doctors to focus on primary care services, including routine checkups and sick visits. There are already primary care physician shortages

Full article
http://knowledge.wharton.upenn.edu/article.cfm?articleid=2297

* * * * *