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To: NOW who wrote (212513)	7/26/2009 12:29:31 AM
From: patron_anejo_por_favor	Read Replies (1) \| Respond to of 306849

>>is HOW to pay doctors for their services.<< I say pay them based on genital size. It would be less arbitrary than the system currently in use.....

To: NOW who wrote (212513)	7/26/2009 12:49:16 AM
From: GST	Read Replies (4) \| Respond to of 306849

We will NEVER control health care costs until we recognise that HOW we pay is NOT the issue. Health care costs have been and will continue to soar so long as doctors are primarily paid according to the procedures they perform rather than being on salary. There might be exceptions, but on the whole, the absurd cost of health care is the primary issue. HOW we pay is a matter of administrative efficiency. One could argue that private admin is better -- but that depends entirely on HOW doctors are paid. Private insurers are inefficient now precisely because of how much time the insurance companies have to spend trying to avoid paying for the excessive treatment plans created by doctors in their search for a profitable practice. If doctors were mainly on salary, private health care would no doubt be more efficient than government run health care. As for the cost of expanding coverage to all Americans -- we will never be able to close the gap so long as we can't control costs -- and we can't control costs so long as doctors have an incentive to push the cost of care into the stratosphere. For profit insurance might not be much of a problem -- it pales in comparison with the problem of for profit doctors.