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Politics : Ask Michael Burke -- Ignore unavailable to you. Want to Upgrade?


To: Skeeter Bug who wrote (119193)8/21/2009 10:58:29 AM
From: Freedom Fighter  Read Replies (1) | Respond to of 132070
 
skeeter,

>one problem is that everyone can't go to those gurus, even in the current system. the question is - who gets shut out and why.<

This is the primary issue and it needs to be discussed in a rational and mature way.

In the minds of the idealistic, everyone should to go to gurus and get the best possible care even though the resources of the country are limited. Even worse, since they are so delusional about how the real world works, their typical solution would just turn the gurus into investment bankers, businessmen, architects, etc... instead.

The current situation is far from perfect because that extremely high level care typically only goes to those that can afford the best health care plans, best doctors out of pocket, etc... But there may not be a way to improve on that part of it.

IMO, the overall solution at present is to define some basic affordable level of care we will provide as a society and for everything above that you are on your own. Then as standards of living rise, we can slowly raise the bar on "basic" over time.

However, we also need incentives for behavior that does not waste limited resources and ways to make the current process more efficient. If we did that much, I think the "average" care would improve a lot and "basic" would pretty good.

The general idea is to define the pie first and then use it as effectively as possible, not to define a wish list of things you want and then take as much pie as required. The rest of that pie is needed for other essential activities we value. In addition, when you allow the pie to grow to meet your desires, you further open yourself up to those in the private sector that "are" greedy bastards that will look to rape and pillage the system.

Hope your son is doing well.



To: Skeeter Bug who wrote (119193)8/21/2009 11:38:48 AM
From: Knighty Tin4 Recommendations  Read Replies (2) | Respond to of 132070
 
Of course, you are totally wrong about a government system not working as well in dire circumstances. My Mother, and several other liver patients, were denied transplants by private insurance. Many of those who were fortunate enough to reach Medicare age before their deaths now have shiny livers. Private insurance would simply have killed them off, as they were "too sick" to survive the operation.