To: dybdahl who wrote (18276 ) 7/9/2010 10:02:17 AM From: i-node Respond to of 42652 I still believe that costs would have increased a lot, because people live less healthy lives these days and technology has improved a lot, which means that many more things can be saved. Only 10-20 years back, a knife-stabbing into vital organs, 75% burns or 4 minutes under warm water would kill a patient. Today, these two can easily be survived without any significant consequence for the future life. This doesn't come for free. About this we agree, and American health care is responsible for a lot of innovation that brings about these results. But still, our government's involvement is a destablizing factor that creates havoc with our health care finance system. And it serves to drive costs up over time by shifting costs to the private health insurance system. If a physician must collect $85 for a given office visit in order to meet profitability goals, yet Medicare/Medicaid average only $49 for that visit, it puts upward pressure on the amount that must be billed in order to bring the average fee up to a level that will yield the $85. It may be necessary to bill $140 this year, and perhaps $160 next year. Yet, MC/MA are totally out of money here, so everyone understands the need to keep costs down. Ultimately, the quality of care will suffer. Instead of seeing doctors we'll see lesser qualified individuals. Instead of the best medical equipment we'll get older technology, etc. I don't think that has happened in most places yet, but I think it is in the process now. Over a few years, we are apt to see a degradation in the quality of care delivered in the US to the point we're not better than other countries, principally because the reimbursement system has gotten so out-of-whack.