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Politics : A US National Health Care System?

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To: Glenn Petersen who wrote (9838)	9/28/2009 10:51:09 AM
From: skinowski	of 42652

$60 billion a year, or about 3 percent of overall medical spending, is a reasonable upper-end estimate Can't recall anyone - except for me - emphasizing the costs of questionable hospital admissions. It all depends on their methodology. No doubt, it's easier to compare survivals between states which do more - as opposed to less - stentings. It's much harder to find out what's going on in the mind of an emergency room physician when he is trying to decide whether to treat and discharge the patient - or, to admit to the hospital. And what goes through the ER doc's mind is that he can not take any chances at all. Therefore, ALL borderline cases will get admitted - and this will happen several times a day in every busy ER in the nation, at the cost of several thousand bucks for each case. Extend this to office based docs, who will send patients to the hospital whenever there is any doubt. To survive you need to CYA. Methodologies those researchers use cannot take into the account what's happening in people's minds. Their estimates have little to do with reality. Ultimate costs are probably several times higher.

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