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

To: skinowski who wrote (18538)	7/28/2010 7:40:54 AM
From: Lane3	1 Recommendation Respond to of 42652

What's next? Tie state license to the doc's agreeing to take Medicare? Either they do it now or they do it later. Seems to me that, if they don't do it now, doctors will end up either salaried or in boutique/cash practices. Individual practices will not be able to exist unless they find a cash niche. Then, of course, the reformers will feel the need to change the rules and disallow in one way or another the cash practices.

To: skinowski who wrote (18538)	7/28/2010 10:44:55 AM
From: i-node	Read Replies (1) \| Respond to of 42652

One young person, a college student, actually told me a few days ago that she had doubts about going into medicine - because by the time she would be ready to practice she could find herself having no choice but to work for the government, from paycheck to paycheck. I am concerned about what happens with Medicare going forward, but nothing concerns me as much as the problem you mentioned above, as it is the future of health care in America. A young attorney can walk out of law school into a large firm today making 160-200K with nearly unlimited earnings potential. Smart engineers start out making less but have nearly unlimited potential. In fact, there are now plenty of disciplines which can attract the brightest students and sell them on greater future earnings potential than that of physicians. And the problem compounds - as fewer docs enter the practice of medicine, lower-paying patients (e.g., Medicare/Medicaid) naturally will be cut out of the process. The future of health care in America isn't good. And you really can't totally blame it on Obama. Most of this dates back to LBJ.