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


To: TimF who wrote (8403)8/18/2009 11:05:41 PM
From: i-node  Read Replies (1) | Respond to of 42652
 
Both are one time actions if they can be done they might take a long time, but then its a 30 year one time action, the point is its not a continual process.

It is a good point but both fraud and defensive medicine grow at an alarming rate. Fraud grows with the bureaucracy and its inability to implement sensible internal controls.

And defensive medicine grows as the availability of options available to counter lawsuits grows. More tests, imaging procedures, more expensive procedures, etc.



To: TimF who wrote (8403)8/19/2009 8:03:28 AM
From: Lane31 Recommendation  Read Replies (2) | Respond to of 42652
 
Both are one time actions if they can be done they might take a long time, but then its a 30 year one time action, the point is its not a continual process.

That's an important point that arguments so often ignore. One time cost cuts are fine but limited. They just postpone. Those that change the cost growth rate are what we really need. It's important to differentiate when looking at options.

One argument that is much favored by some is to reduce the admin overhead with single payer. That's an example of not only a one time savings, but one that would actually be on a declining curve even without the intervention.