On 2015-03-21 5:58 PM, Tom Swift wrote:
> Joerg <
ne...@analogconsultants.com> wrote:
>
>> On 2015-03-21 4:02 PM, Tom Swift wrote:
>
>>> So who is making all the money in health care? Is it the hospitals
>>> with their obscene chargemaster lists?
>
>> Lawyers, liability insurers, unionized workers and hospitals, mostly.
>> A nurse makes more money than an engineer in many places. The health
>> "system" in the US has gone beyond absurd. Which is why many people
>> with non-urgent or elective surgeries go to Thailand and other places
>> to have it done.
>
> Thanks for the link:
>
>
http://www.californiahealthline.org/road-to-reform/2013/more-doctors-are-
> quitting-medicare-is-obamacare-really-to-blame
>
> The article linked to another article in the NewYorker, "Cowboys and Pit
> Crews":
>
>
http://www.newyorker.com/news/news-desk/cowboys-and-pit-crews
>
> This was a very enjoyable read - thank you.
>
> But the problem is once you start reading about these issues, you quickly
> get overwhelmed with the complexity. There doesn't seem to be a single
> string that if you pull on it, out will come the solution. Given all the
> different factors - politics, liability, social, and plain greed, there
> may be no solution.
>
The key points are missing in most publications (sometimes because they
are not "PC") and those are that, before doing anything to our medical
system, we must get rid of the parasites in it and also make it at least
as transparent as the process of buying groceries. If a cardiologist has
to pay north of $100k just in liablility insurance just to be able to
practice that is sick. If people cannot find out before committing what
a procedure costs that is never going to work in the long run.
> Medical tourism may be the answer for those who can afford it, but many
> cannot. Possible solutions abound, for example the free health care
> enjoyed by Canadians. But it is doubtful anything like this could be
> introduced in the US.
>
I wouldn't want it. Socialized medicine results in the usual, waiting
lists. Except people die on those kinds of waiting lists. Wealthier
Canadians often quietly carry a Mayo Care card or something similar in
their pockets. That way they can avoid the mediocre performance of their
country's health system and skip across the border for top notch
treatment. While at Mayo I was astounded how many Canadian patients were
there, their accents gave them away. Problem is, if our system turns
sour we have no border to skip across for medical care. We'd have to
cross an ocean and with a heart condition that may not be possible.
> I know many people in health care are very idealistic about helping
> others. But when it starts affecting your family, you have to make a
> choice.
>
> I guess you can consider yourself lucky to have got out when you did.
>
It would have been ok to get out later but it would have created a lull
in assignments. I'd have used that for mountain biking :-)
I didn't get out completely, still doing one medical project and that is
a very challenging one. When it's tough, it's fun.