To: Bobby Yellin who wrote (41904 ) 10/3/1999 4:09:00 PM From: Tunica Albuginea Respond to of 116790
Bobby Yellin, folks in USA have no idea in what a disarray Health Care is getting in. Right now not only you can't see a specialist but you don't even see a General Practitioner. A " Physician's Assistant " ( glorified name for a nurse with 2 extra years of " training " from a " Nursing School" ) instead sees you. If you call her " Doctor " ( cause you don't know she is a nurse ), chances are she won't correct you. The MD sees the patient subsequently for a few minutes and just gets a gross summary from nurse. Of course, not having lengthy direct interviews himself with patient he never quite gets the " flavor of the patient and his illness " and he will soon forget it, which results in more unnecessary testing in long run and unhappy patients ( they think " Doctor is too busy ").Diminishing coverage, shortened hospital stays, a limited choice of doctors, the strict regulation of doctors' medical decisions, and the squeeze of large discounts out of health care providers are breeding resentment towards managed care. The result is a political backlash that is only just beginning. dismal.com Just now, after 20 years of DRGs ( " Diagnostic Related Groups ", the harbinger of HMOs) are Americans realizing that these two are just euphemisms for Health Care Rationing. They are clamoring now in the Courts and Legislatures that it be changed.Change will be extremely costly. Modern Medical Technology is extremely good but extremely expensive. Just like a Cadillac is extremely better that a T- Ford but extremely more expensive. The problem worth Health Care and our society is that everybody wants to drive a Cadillac even though a very large number can't afford it. For the last 40 years the growing tab has simply been put on a Visa Card called The National Debt. First we sent the bill to our Children and grandchildren and the unborn, as Interest and Debt to be paid with future earnings and taxation. When that became insufficient, we started selling our newly minted dollars to Japan and the rest of the world. We have flooded the World with IOUs and debt and Dollars. Especially Japan. However as the rest of the world recovers, chances are that they will invest more there than here. Also, Japan is getting leery at lending us any more money. I think Health Care Costs will explode and will add up on top of rising Oil prices and rising Wages. I think that will be big whammy for the Market, ----------eom back much later TA --------------------------------------------------------Message #41904 from Bobby Yellin at Oct 3 1999 3:05PM first of all great..I joked with a friend that you were a urologist.. secondly.. great..the news of potentially suing hmos ala tobacco lawsuits I found mind boggling as to the consequences.. If the majority of US citizens are going to be forced to pay huge amounts for insurance,don't you think they are going to vote something in.. ps a lot of my friends have been have reported horrific stories about noncare from HMOS.. care to describe how this will be resolved? (except for the obvious, the government will probably omit health costs in data for inflation :-) bobby ps. thank you for posting Baron's articles