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Politics : Foreign Affairs Discussion Group -- Ignore unavailable to you. Want to Upgrade?


To: Sun Tzu who wrote (263650)5/8/2008 2:40:48 PM
From: geode00  Respond to of 281500
 
There are a couple of issues. The biggest one is whether the system can work efficiently for all citizens if part of it is private. That is pretty much what we have now and (I have heard) is the problem with the British system.

It may be that at this time and place, only a single, organized system works efficiently enough. It is worth more research and a debate but we can't ignore the possibility that private/public doesn't work well enough to contain costs.

As I said, I wouldn't care if the system was private if it actually worked. It doesn't work so let's look elsewhere for a workable solution.

What do you think is wrong with the current system? Why is it so expensive per capita when so many are going without coverage and so many are underinsured? Why are premiums growing at 10 times the rate of wage growth and costs growing at more than 2 times inflation?

What is going on with this system?

Why are there 700,000 medical bankruptcies, denial of coverage, denial of payment even for the fully insured? Why are big city hospitals closing down and drug companies able to get laws guaranteeing them huge profits?

What is up with this?

Why do the majority of doctors now say they want a single payer system? Why do they spend up to a third of their time doing paperwork in order to get paid? Why are some doctors dealing with ridiculously low capitation payments?

Something is seriously wrong here that isn't as problematic in other industrialized countries. What is the difference and what can we do about it?