Monday, October 19, 2009

Let's Try Something A Little Different In The Health Care Debate.

Radical even. Call me crazy, but why don't we see what the people who actually deal with the healthcare system on a daily basis think about the situation. After all, wouldn't doctors know a bit more about what needs to be done than bonehead politicians interested in nothing other than getting re-elected?

Besides, we all know the federal government messes up everything it tries to do. Except blowing shit up and killing people. The federal government does that very well. It actually built a pretty good interstate highway system too. And runs a decent system of National Parks. It also makes sure almost 50 million people get their social security checks every month and is behind the delivery of almost 700 million pieces of mail every day. Other than that though, it's obvious the government can't accomplish anything.

Let's see what the doctors think.

...we conducted a national survey of physicians to inform federal policymakers about physicians’ views of proposed expansions of health care coverage.

...Survey respondents were asked to indicate which of three options for expanding health insurance coverage they would most strongly support: public and private options, providing people younger than 65 years of age the choice of enrolling in a new public health insurance plan (like Medicare) or in private plans; private options only, providing people with tax credits or subsidies, if they have low income, to buy private insurance coverage, without creating a new public plan; or a public option only, eliminating private insurance and covering everyone through a single public plan like Medicare. We also assessed the level of physician support for a proposal that would enable adults between the ages of 55 and 64 years to buy into the current Medicare program.

Overall, a majority of physicians (62.9%) supported public and private options. Only 27.3% supported offering private options only. Respondents — across all demographic subgroups, specialties, practice locations, and practice types — showed majority support (>57.4%) for the inclusion of a public option. Primary care providers were the most likely to support a public option (65.2%); among the other specialty groups, the “other” physicians — those in fields that generally have less regular direct contact with patients, such as radiology, anesthesiology, and nuclear medicine — were the least likely to support a public option, though 57.4% did so. Physicians in every census region showed majority support for a public option, with percentages in favor ranging from 58.9% in the South to 69.7% in the Northeast. Practice owners were less likely than nonowners to support a public option (59.7% vs. 67.1%, P<0.001),>


Huh. How about that. The people who know the most about our healthcare system, the ones who are immersed in it every single working day, unambiguously feel the federal government needs to step in and be a part of the cleanup of the rotten mess we call healthcare in this country. What does that tell you my friends?

IT TELLS ME YOU'RE SOME SORT OF COMMY DRUGMONKEY!!!!! I can hear some of you saying. WHY DO YOU HATE AMERICA!!!???? JESUS IT PISSES ME OFF THE WAY YOU PASS ALONG SOME LEFT-WING PROPAGANDA PIECE YOU FIND ON THE INTERNET AS IF IT WERE SCIENTIFICALLY SOUND RESEARCH!!!

And you would be right. If you consider The New England Journal of Medicine to be a mouthpiece of left-wing propaganda that is. Most people however, would consider it the epitome of scientifically sound research.

Only 27.3% supported offering private options only.

Only 27.3% supported offering private options only.

Only 27.3% supported offering private options only.

Don't you think that maybe....just maybe....we should give some credence to the opinion of the people who know the most about healthcare?

NO! GLEN BECK KNOWS MORE!!!! HE HAS MANY YEARS EXPERIENCE AS A RADIO DISC JOCKEY!!!!!! HITLER HITLER HITLER!!!!! SOCIALISM!!!!! DEATH PANELS!!!! BWWWWAAAAAAAAAAAA!!!!!! BE AFRAID!!!!! Say my friends on the right.

By the way, I will never forgive the conservatives for coming up with that death panel story. Because I was totally looking forward to serving on one until I found out they just made the whole thing up. Dammit.

Anyway, my point here is that the more you know about medicine, the more likely you are to think......like me.

Of course I work in healthcare too.

Why don't you ponder that the next time you're driving down the interstate.

7 comments:

Anonymous said...

With over 40 years in healthcare in many roles, clinical and management, I can tell you why almost 70% of doctors want some kind of blanket coverage for everyone: They don't care who pays them as long as they get paid and stop having to write-off bad debt. It's about money, not care.

Pharmacy Mike said...

By that argument... Then the free market (based on how to make the most money) is also in favor of government sponsored health care.

Maybe that little piece of info should be spread to these "free market" enthusiasts.

Anonymous said...

it would be a dream to have one formulary :(

also a dream not to fight to figure our what insurance the patient has


but most importantly.. it would be nice to be rid of private PBMs that siphon all our profits and leave us working for pennies. Theres a reason we all love government plans, at least they pay adequately and dont want us to go bankrupt.

Anonymous said...

Don't tell me being paid on time instead of 'fighting' with some nebulous shape-changing intermediary no-no machine, doesn't 'free up' time and energy for more 'care' or whatever.

Jeez, if there was no such thing as friction, physical work would be a little more efficient, no? Duh?

It's not all about the money. It's about the efficiency of people that do the actual work, and it's about providing more access to those that are already working day and night while bold and brazen insurance companies slip their piece of the pie out of the paycheck.

Who said it's about the care, only? Sure, there's an element 'about the money'. Does anyone enjoy having their pockets picked knowing all the while it's being picked?

So, tell me why there isn't an element of 'care' in healthcare, suddenly US turns into (to evoke an immediate gut reaction of repugnancy and protest) Mengele and cohorts?--I think not!

Who cares? Scenario 1. Status quo--where's the care? Where's the money? Scenario 2. With a government option--where's the care? Where's the money?

Anonymous said...

Ah, yes indeed, there are many caring physicians, but I am not a physician. The folks I saw who cared for and ABOUT patients were Xray techs, nurses, pharmacists, lab techs, and respiratory and physical therapists. Regardless of what their sometimes extensive educations cost them, that worked for a pittance compared to the almighty physician (some of whom couldn't pour piss out of a Foley without their allied health care helpers).

My personal physician of 20 years honestly cares about me, but that hasn't stopped him from seeing eight or nine patients an hour instead of three to four just to make enough money to pay his nurses, office help and insurance clerks.

I remember healthcare and doctors before Medicare when there was no for-profit healthcare, no Tenet, no HCA, no Humana. I knew doctors who had three bedroom homes, drove old Chevy stationwagons and wore corduroy jackets with patches on their elbows. They loved their work and were happy.

But that was a long time ago, kids. Those days are gone and the medical profession has created its own social class niche from which they will never be extricated.

Anonymous said...

http://www.youtube.com/watch?v=bvaJYYeXf70&feature=player_embedded

Penny Mitchell said...

Driving down...THE INTERSTATE? The PUBLICLY-FUNDED INTERSTATE? What are you? Some kind of socialist?