The Residential Real Estate Crash Index Message Board

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Strategies & Market Trends : The Residential Real Estate Crash Index

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To: Skeeter Bug who wrote (212450)	7/25/2009 2:21:22 PM
From: GST	Read Replies (2) of 306849

The central issue in health care -- the one few people want to discuss -- is how much to pay doctors for their services. One model is to have doctors paid on salary -- this is not uncommon but it is certainly far from the majority of doctors. Doctors more often than not view themselves as free agents -- entrepreneurs if you will. This creates enormous waste as there is an incentive for doctors to steer patients towards treatments and procedures with the highest profit margins. It is very difficult to set payment schedules on a fee for service basis. So long as medicine is practiced as a series of billable events, the cost and waste will continue to soar. This is true regardless of whether payment is channeled via private insurance or a public payment system. Private insurers face the same issue of how much to pay doctors for billable events. Many doctors will scream at the idea that they should not offer medical services in a manner most likely to maximize their personal gain -- regardless of the enormous waste and soaring cost this brings.

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