tag:blogger.com,1999:blog-6727141328394022309.post7396492536835630092..comments2023-07-18T09:42:47.954-07:00Comments on Health Policy Wonk: Best Healthcare Plan I've seenMichael Halasyhttp://www.blogger.com/profile/02160630101048946652noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-6727141328394022309.post-48579766359803624122009-03-12T17:15:00.000-07:002009-03-12T17:15:00.000-07:00I would like to see the term "health care provider...I would like to see the term "health care provider" so that it includes NPs and PAs as primary providers. We are already filling the role.Anonymoushttps://www.blogger.com/profile/03879069463960748178noreply@blogger.comtag:blogger.com,1999:blog-6727141328394022309.post-6958859328443362009-03-03T11:37:00.000-08:002009-03-03T11:37:00.000-08:00Agreed, one of my focus areas in health policy is ...Agreed, one of my focus areas in health policy is access to care, and primarily, access to primary care. However, to do this, we need to not only overhaul current CMS reimbursements, but we need to think outside of the box, and perhaps utilize midlevels, at least in primary care, to a degree that has not been done before.Michael Halasyhttps://www.blogger.com/profile/02160630101048946652noreply@blogger.comtag:blogger.com,1999:blog-6727141328394022309.post-34451685261359140342009-03-03T06:45:00.000-08:002009-03-03T06:45:00.000-08:00I like the ideas in the post and I am getting sick...I like the ideas in the post and I am getting sick of the scare tactics of "universal socialized medicine" whenever creative solutions are offered.<BR/><BR/> Universal coverage does not point to mediocre care. In fact, other Countries achieve coverage and have better outcomes so that argument is just plain wrong.<BR/><BR/>My concern is that this gets everyone coverage but doesn't address anything else in our broken system. We don't have enough primary care. We have perverse incentives to do more and more,even without science to measure outcomes. We cannot give "free" care without some way to control costs. We have incredible waste that is not addressed. <BR/><BR/> I would like to see some financial modeling. I'd gladly pay 10% sales tax to get universal coverage and good medical care. It would be far cheaper than the insurance I now pay for. Without other reform, however, I don't see how this is possible,Toni Brayer, MDhttps://www.blogger.com/profile/15258759363309666629noreply@blogger.comtag:blogger.com,1999:blog-6727141328394022309.post-20053181651823138312009-03-01T21:24:00.000-08:002009-03-01T21:24:00.000-08:00I am afraid a single payer system such as this wil...I am afraid a single payer system such as this will only make everyone's care mediocre. We cannot have excellent services for all individuals in this country. We ration healthcare b/c there is NOT enough to go around at the level we are used to. If we open it up to everyone we simply will ration the care by time i.e. long waiting list to see our PCP's and even longer for specialists. I am very concerned that there will not be an incentive for physicians to go to all the schooling, residencies, and fellowships if they are not compensated at an appropriate level and with universal health care a deduction in pay is almost certain, is it not?<BR/>MLPAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-6727141328394022309.post-10970483216375580312009-03-01T13:05:00.000-08:002009-03-01T13:05:00.000-08:00"... and workers wages will rise accordingly."? I..."... and workers wages will rise accordingly."? I don't think so.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6727141328394022309.post-81830219173526658422009-02-27T02:55:00.000-08:002009-02-27T02:55:00.000-08:00if this healthcare reform passes into a socialized...if this healthcare reform passes into a socialized universal healthcare like Obama wants he better socialize medical school, and offer every medical student, resident, fellow, and physician out there a complete repayment of all of their school loans (undergrad, grad, etc). The may help to make up for the huge decrease in money we will be making after the reform. He will have to be sure that some incentive still exist for intelligent able bodied men and women to want to work there ass off and surrender much of their young life for their future as physicians. Otherwise we will have an even greater physician shortage than what is currently projected and the quality of physicians will go down immensely.<BR/><BR/>as the veteran physician said at my white coat ceremony. "it is obvious we do not go into this profession for money as we are all bright people who could make a fortune much quicker in the world of business and retire early. It is not to say that being a physician does not have its financial pay offs after the many years of hard work. However, that financial pay off is very long down the road. A physician must want to help others above anything else."<BR/>I agree with his words, but as he said we could make more money elsewhere currently, if the reform occurs this will be even more true. That will lead many from medicine as paying back school loans and the interest that accumulates over the long years of school, residency, etc. makes a physician barely able to put a roof over his head.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6727141328394022309.post-26721572659015645592009-02-26T15:05:00.000-08:002009-02-26T15:05:00.000-08:00Don't worry cynic: a college education is as much ...Don't worry cynic: a college education is as much a right as free healthcare! you're kids will get a mediocre, liberal arts education and a shiny new healthcare card in their wallets!<BR/><BR/>single payer systems will only lead to crappy healthcare for all, long lines for the CT scanner, and lower wages for providers. <BR/><BR/>If you notice that whenever the powers-that-be talk healthcare reform they never mention what will happen to our paychecks...<BR/><BR/>Before you blast me for "only caring about myself and not giving a rat's @$$ about my patients" my children need a place to sleep tonight and some food to eat. after I pay my student loans that is just about all I can afford...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6727141328394022309.post-9271662875454376092009-02-25T23:22:00.000-08:002009-02-25T23:22:00.000-08:00Ahh hell, whats another $ 20,000 my kids don't nee...Ahh hell, whats another $ 20,000 my kids don't need to go to college.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6727141328394022309.post-21673129522983455652009-02-25T20:07:00.000-08:002009-02-25T20:07:00.000-08:00So all of this great stuff will only cost us an ad...So all of this great stuff will only cost us an additional 10% sales tax on anything and everything?Anonymousnoreply@blogger.com