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

To: skinowski who wrote (24610)	8/29/2012 9:30:54 PM
From: i-node	Respond to of 42652

>> but then, who will decide how many of these units must be assigned to each service or procedure? A group of bureaucrats will decide that. >> The best way to discover how to value various procedures and services would be price - expressed in dollars, and determined by free markets. But -- we are so far away from this that such a suggestion may almost seem laughable. I think the original idea was good, but there is no doubt the entire concept was wrecked by virtue of having to shoehorn it into a form that satisfies politicians' objectives. At the outset it was thought of as "objective"; today, anything but.

To: skinowski who wrote (24610)	8/30/2012 9:39:17 AM
From: Lane3	1 Recommendation Read Replies (1) \| Respond to of 42652

There is always a weak spot in all top down solutions. Maybe the RVU's were thought through very well -- I suggest that it's not smart long term to be too hard on the RVU system. It seems to me that they did about as good a job as possible designing it. You know we're never going back to market pricing. So all complaints about flaws in the current approach push us further into socialism. The only way to get rid of the headaches associated with insurance companies and payment structures and the like is to have the government own and operate everything and employ everybody. Then the only payment analysis that needs to be done is in the federal budgeting process as the government decides where to distribute the resources, which would be pretty much invisible.