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

To: skinowski who wrote (9459)	9/14/2009 9:28:08 AM
From: Lane3	Read Replies (2) \| Respond to of 42652

it seems that a very large majority of young docs upon completion of their postgraduate programs no longer become independent practitioners - they become employees. It would seem so. To many, a government takeover may mean little more than having to answer to a different boss. And I can see where that might happen. Yes, doctors might go along readily were there to be an initiative to nationalize them. But that would not happen unless there were an initiative to nationalize them. Doctors wouldn't likely initiate such an initiative. So where would it come from and what would trigger it? As I already said, I can't see that happening. If France did it, then there might be a contingent in the US wanting to follow suit. If some international body did a study that determined that the Brits had the best healthcare in the world, that might influence us. But you know that isn't going to happen. We have a hard enough time filling physician jobs in VA. The military has been using more private doctors for a while now. I don't see what would trigger a trend in the other direction.

To: skinowski who wrote (9459)	9/14/2009 9:35:24 AM
From: i-node	1 Recommendation Read Replies (1) \| Respond to of 42652

Bottom line -- young docs as a group, especially primary care, no longer think about their professional future in terms of being independent. Sad, but very true. I work with relative few primary care docs anymore because so many are hospital (or large-group) owned and work on hospital based systems rather than buying software for the clinic. One town in Arkansas where I work it is almost exclusive. The hospital owns EVERYONE. It has been moving this way as long as I remember -- since the early 90s when I first got in the medical software bus.

To: skinowski who wrote (9459)	9/14/2009 10:59:50 AM
From: Mary Cluney	Read Replies (2) \| Respond to of 42652

<<< young docs as a group, especially primary care, no longer think about their professional future in terms of being independent. To many, a government takeover may mean little more than having to answer to a different boss.>>> How would a government takeover scenario play out (or come about)? Even if we put everyone on medicare, wouldn't you still be able to choose your doctor or choose your own hospital etc? What I mean to suggest is that a government takeover is a very far fetched scenario.