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To: Jim McMannis who wrote (241851)	3/22/2010 11:12:19 PM
From: Bank Holding Company	Respond to of 306849

Oh yea of little faith.

To: Jim McMannis who wrote (241851)	3/23/2010 3:14:54 AM
From: Elroy Jetson	Read Replies (1) \| Respond to of 306849

Malpractice lawyers are as fully occupied in Australia as they are in America. So that's not the secret why Australia's health care is as good or better than that in the U.S., but a nearly half the cost per person. However, your reference to CPT per item compensation programs which lead Doctors to perform unnecessary procedures, to increase their compensation, is close to the mark. In France Doctors are generally not paid for each procedure, but receive kick-backs from pharmaceutical firms for prescribing medicines. Would you believe Doctors in France wildly over-prescribe medicines but under-use diagnostic procedures, sometimes dabgerously so? Would you believe that annual bonuses led to sub-prime home loans sold as AAA investment bonds? The method of compensation creates or controls costs, as well as risk and successful outcomes. Two generations ago most Doctors expected to treat many of their patients without payment or for a fraction of their customary fee. Doctors who did not honor this tradition were shunned by others in the medical field. Today the earnings of Doctors vary wildly, with virtually no correlation to the Doctor's intelligence, training, or competence. As the rising costs of health care increase, I suspect the method and rate of compensation for Doctors will more closely resemble that of a couple of generations past. Those who are strongly attracted to money will once again go into sales rather than attending medical school. Will global pharmaceutical firms continue to be able to charge Americans prices for drugs which are twice or five-times the price they charge in other nations? The Magic Eight Ball says, "Outlook Not So Good". .