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Politics : PRESIDENT GEORGE W. BUSH -- Ignore unavailable to you. Want to Upgrade?


To: Neocon who wrote (529853)1/26/2004 2:26:56 PM
From: AK2004  Read Replies (1) | Respond to of 769670
 
re: as failure to adequately amortize the R&D costs, so I see no point in arguing when we have similar worries.

agreed

re: I still think that there are pretty clear gains through technology, drugs, and surgical advances.

I never argued with improved technology, drugs, and procedures.

re: one trades complete autonomy for the overall terms of coverage.

agreed

re: I am not sure what "best available care" is supposed to mean. ...... her doctors had gone to good schools

I, OTOH, had had flu and went to emergency room where they measured my temperature at 101.5 which is not a big deal. The problem is that my temperature was 105+. I came home measured my temperature and it was 106 went back and it was 101.5. I promised to report them to state so they measured it 4 more times with 101.5 until they brought another thermometer which showed 105. In a little while I asked nurse if they are still using broken thermometer on other patient and he said that no one authorized him to use different thermometer. For that broken thermometer deal and x-rays they charged $1,200. You tell me if the technology and procedures got better <ggg>

re: but I am still not quite clear on what you think the problem is

there is a cost fixing in the industry. My father had procedure where doctor screwed up so top specialist needed to redo the procedure which was much tougher. It ended up that the 1st doctor who screwed up with my father's surgery charged for the procedure more than twice as much as the top specialist. Now tell me - what is the incentive for doctors to do good work if the bad doctor is making more than a good one. Price control (fixing) within medical profession is the problem......

BTW another example is that my dentist is outside of my ppo. He got great reputation as one of the best here and charges less. HMO dental even worse.

re: In general, it seems to me that some kind of pressure has been put on the medical industry to restrain costs

the pressure was put on drug companies and insurance companies. The respond of the drug companies is to move money out of research and into marketing of the existing drugs which is a very understandable response. Insurance companies are not in position to control cost at all. The profit of the insurance companies is the small margin of the money under management. The only way insurance companies can limit the cost if they limit the coverage. OTOH hand most of our presidential candidates want to put even less pressure on actual service providers, limit their liability etc

-AK