I am not about to marginalize myself or this discussion to the simple prospect of socialized medicine vs private insurance, too many would take their sides and it would be a pissing match back and fourth drawn upon partisan/ideological lines that would produce the typical arguments and cliches.
Good luck with that on this forum or anywhere else.
As for a real question, how do you feel that the for profit aspect of health care is bringing the system down? I’ve heard many people–including the president–comment that we need to make health care more efficient in order to make it affordable and sustainable for us as a society.
I though have also heard from some critics that we will never reach the level of efficiency needed if we continue to allow our health care system to be for profit.
Basically the argument goes that for profit health care not only drives up costs in obvious ways by having middle-man investors take their cut, but also by driving up incentives to provide unnecessary treatment just for more profit. Ultimately the argument goes that our health care institutions need to be nonprofit and that all health care workers need to work for hourly wages, not piecemeal.
Of course how you actually implement such changes could vary, and who ultimately pays for the system depends too. I’m not really a fan of the idea that health care should be government run, but nonprofit health care institutions need not mean government run health care institutions.
Anyway, since I know little about the system I thought I’d throw that out there to you. Do you think the level of efficiency required so that, for example, patients wants don’t outstrip the system’s capabilities requires going nonprofit? [/quote]
what exactly do you mean by non-profit? I’m inclined to disagree on the very simple grounds that making doctors and other health care professionals work on an hourly wage in a non-profit setting is a great way to lose talent. High powered docs don’t want to go into a lower paying job. Hell, med school students often choose to go into medicine with the expectation of some great money.
I’m not a fan of the insurance companies getting their pound of flesh in the same way they do now. Costs are waaay too inflated. There are MANY problems with our system.
And honestly, I don’t know how to fix it, but I feel I know some ways to avoid making it worse—and I think killing profits is a great way to do that because the profit motive is probably the biggest drive to innovation, advancement, and improvement there is. There is a reason Canadian docs migrate here, and docs from Britain try to get out of there—its the lack of monetary incentive in their home countries.
There’s one rule in business…you get talent by paying for the best talent. If you don’t pay whats expected, people don’t want to work for you when they can go elsewhere, be it another state or another country.
You know as well as I do that one of the reasons socialism doesn’t work economically is that it kills the desire to excel by guaranteeing a wage–but a much lower wage than one might get–and making it difficult or impossible to move up from the set wage.
If for example I’m guaranteed 30,000 a year for just showing up to my job, but making it to 50,000 a year is prohibitively difficult, I’m going to be a bum on 30,000 because I don’t need to do shit to make that money. I just have to show my face.