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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?

To: skinowski who wrote (6854)	6/1/2009 4:13:34 PM
From: i-node	Read Replies (1) \| Respond to of 42652

I'm curious - What do you think about "staff model" HMO's, like Kaiser? Docs - and everyone - become employees. LindyBill talked about it, and gradually got me thinking. After all, corporations is what we know how to do do right. Or, at least used to. I'm a free-market kind of guy, and and I think there is a place for everything. For some people it may be an excellent solution. In particular, something along these lines could form the basis for providing an alternative for reducing the load on Medicaids, saving money on Medicare, and providing care for those who can't afford another arrangement more to their liking. I wouldn't oppose the creation of, say, 500 government funded primary care clinics, a smaller number of outpatient surgery facilities, and even some hospitals in major cities to reduce the costs of Medicaid, Medicare, and indigent care. I wouldn't want government "managing" them -- I think they're going to have their hands full with AIG, GM and Chrysler, anyway... I like the idea of the "Walmart" clinics, the walk in clinics of various kinds, and as you've mentioned, options involving nurse practitioners and PAs. All these things can contribute, imo, to a more efficient model. But I would hate to see these arrangements totally crowd out the more traditional primary care arrangements.