If you ask me - good ole times when patient paid the doctor, and there were enough doctors. If you ask people who lived like 50-60 years ago, may be even younger, they do remember those times. And yes, poor people got their healthcare, either free of charge, or paid by rich people.
not gonna argue over this. You asked, i honestly answered.
Medical costs have skyrocketed since then, partly because doctors have to charge more to make up for the uninsured people they treat and partly because of the huge investments in all of the diagnostic technology that is now available.
When I was a kid (I was born 50 years ago), doctors actually made house calls. My Dad worked for the federal government, so paying for it wasn't an issue. But it was completely different back then. Everyone had insurance.
Does that mean I agree with Obama's plan? Hell no. Maybe we should have had a healthcare Czar many years ago to make sure that insurance rates didn't skyrocket like they did and that malpractice suits for gazillions of dollars weren't awarded for frivolous stuff.
That's because there were fewer people and more doctors back then. When you have a population of 100 million and 500,000 doctors, doctors do housecalls. When you have a population of 300 million and 600,000 doctors you make doctor's visits.
I'm not sure I like that rich person/poor person distinction. Most people are not rich, so in a free market doctors couldn't afford to charge what an ordinary person could not pay. If they did, people would seek out a different doctor.
One of the problems we're dealing with is government licensing of physicians. This creates a monopoly. The other, more obvious problem is government mandated insurance.
Ah, but oncologists never made housecalls did they? Or open heart surgeons? The sophistication of medicine as practiced today is, quite frankly, expensive. Somebody's gotta pay for all the equipment in the OR. And nurses are paid quite well, too.
That said, it would be lovely to have more GPs (the old fashioned term that has been replaced by PCP) who have one-on-one relationships with their patients. Of course students would need to be incented rather than disincented to become doctors. These days the money's in highly specialized work.
One thing that seems to be missing in the debates (and this is a great topic, BCC) is discussion of alternative medicine and moving patient care to physicians assistants for more routine appointments. How do people feel about that?
Your first examples are things I could consider candidates for real insurance, insurance should not be used to pay for doctor's visits. Even so, new medical technology are in some cases better than traditional oncology treatments or bypass surgery, etc. A free market would put pressure on lowering costs. You can't keep someone as a patient, after all, if you let them die.
Hi Megs78, Not sure if this 'advice' is going to be helpful or not. Generally speaking, the only way people can detect sarcasm in these forums is by the liberal use of smilies . However, overuse of smilies will get you attacked for using too many smilies. Been there. Felt that!
LDT. Let's take a deep breath. Something MUST be wrong. One of us must be hallucinating, on drugs, or otherwise deranged (momentarily, anyway). We are, seemingly, in agreement on an issue in the politics forum. Can this really be happening? BTW, like your new avatar. MM
Youre right. They are like the Amish. However, I believe they have less severe rules. For example, the girls are not supposed to wear makeup, but are known to come into stores and offer meat or dairy as payment for makeup. They are shy, but nice.
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