To: OWN STOCK who wrote (69668 ) 2/20/2001 12:52:01 PM From: Tunica Albuginea Respond to of 99985 OWN STOCK, a profound insight on your part: " I would argue that medicine beyond a bandaid and maybe antibiotic is a productivity drag, given the large (and rapidly aging) population of the earth: ". I have maintained that for the last 10 years. Any money for health care beyond basic care, which I would extend to younger people, below age 60 - 65 who can r a p i d l y and p r o d u c t i v e l y return to work, is money thrown down a rat hole. OK for gall bladder operations,appendectomies, pneumonias, some salvagable cancers, first heart attacks, minor strokes, even some joint surgery,and other non - disabling conditions,etc etc, any medical care that will get you back in full action within 2 3 weeks is OK; even 6 months is OK I suppose, if you can get back. When you start talking however about the chronic diseases thattake you out of circulation because you become disabled and/or can't work and cost $40,000 to $60,000+ per year for Y E A R S in a row, to be fully supported by the public during all this time, then you become a dead weight on productivity. Before I get rained, please let me point out:This is NOT a moral or religious based statement " . I am looking at it from a purely economical viewpoint . As I've maintained/stated before, unfortunately in the last 20 years our society has moved more heavily not only in the full, expensive care of heavily crippled individuals,( in whom perhaps one could add some semblance of moral/religious right ), but worse so in the care of the dying starting from preemies on the ventilator with brain damage to terminal elderly with less than 1 -2 months life expectancy in their 80s.....who always die.........100%...we as docs, know that. Unfortunately docs are not in synch with the economy.They really don't think about it.Certainly they have a lot of bills to catch up with and I don't know to what degree tha influences their decisions. This is what is killing us now. Unless that is corrected, we are going down, staying down and not coming up until it is fixed. Canada has done some repairs.It does not provide rapid care ( so no moneys are put out there ) and they send border folks over to the US to spend their moneys here for health care. Much more is needed in the US and Can, back later, TA