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Politics : View from the Center and Left -- Ignore unavailable to you. Want to Upgrade?

To: JohnM who wrote (36445)	4/18/2007 12:09:48 PM
From: epicure	Read Replies (1) \| Respond to of 542106

Well delegation is a funny thing. If you want things done right, you do it yourself. If you delegate, you know it's going to be different. Oversight is never the same as actually doing the thing yourself. Oversight can catch problems, maybe, but it's no substitute for good management. It makes sense to me that a not for profit is going to be less interested in shorting patients to save a few bucks, than a for profit is. That's just the way it is. Oversight won't cure that kind of structural incentive to take money from the patient, and give it to the shareholders, or owners, or whomever. So while oversight was a problem, having for profit company take over a system that probably worked better as a not for profit, is the root problem, imo. Some businesses work better as for profit, some don't- the good state is all about finding the balance. I don't happen to think health care responds very well to the profit motive.

To: JohnM who wrote (36445)	4/18/2007 4:51:24 PM
From: Cogito	Read Replies (1) \| Respond to of 542106

>>As I just posted to Sam, it's my impression the government still monitored it and, thus, was responsible for the kind of failures we saw.<< John - I believe the failures we saw were at least partially due to the unforeseen influx of large numbers of critically injured soldiers from Iraq. The system wasn't designed or prepared to handle so many patients requiring such high levels of care. Even if that were not so, I agree with you that the government is most certainly responsible for the failure of the system to provide adequate care. - Allen