Re: You must admit.........

On Tue, 6 Dec 2011 07:39:21 -0800, Miss Elaine Eos wrote:

On 2011-12-06 13:27:40 +0000, "Alex W." <ingilt@xxxxxxxxxxx> said:

I think you've seen most of us agree that this is a serious downside of
the US system, and needs not just a few tweaks but a complete rewrite
from scratch in order to fix it.

This does not appear to jibe with your earlier assertion that the
US system pre-Obama was sustainable.

Sorry, I don't think of the massively AFU tort system as part of U.S.
health care. Yes, the two are intermingled in messed-up ways, but I
think of them as separate (and separately fixable.)

If you want to package the whole thing then, yes, US health-care
including the tort system is NOT sustainable.

(I'd've thought that my position surrounding this area was clear.)

I get confused; some people factor it in, some do not. Marc
consistently counts litigation as part of the healthcare cost
explosion.




Sadly, too many people feel that they benefit from the current
malpractice system. (These same people are hoping to win the lottery
or big jackpot at slot machines, and don't quite understand how the
system is designed for them to lose.)

Do you really believe that malpractice legislation is the only problem
bedevilling the US healthcare system?

Well, that and the lefties trying to socialize the whole thing...

;)

Seriously, though -- no, there are many problems. It's a matter of
scale, though. Just like, when I look at the US budget and think of
ways to cut the whole thing by 10%, I don't start in the bottom-right
corner looking for the tiniest box in the budget and say "maybe we can
eliminate this entire department, for a savings of 0.000001%" -- I look
a the handful of big boxes dominating 2/3 of the budget area and wonder
"if we just cut each of these by 15%, won't that reduce the entire
budget by 10%?"

You already have 10% fewer hospital beds per 1,000 population
than Britain, and less than half the number than in Canada. You
have 10% fewer physicians per 1,000 population than Britain.
Interestingly, the growth rate of public expenditure on
healthcare was already lower than in the UK and in Canada, at
5.8% versus 7.5% and 7.6% respectively. You have half the number
of psychiatric care beds per 1,000 population as the Canadians,
and a full third less than the Brits (we must be breeding lots of
crazies...). The number of doctor consultations is almost 50%
lower than in Britain and 40% in Canada.

http://www.oecd.org/document/16/0,3343,en_2649_34631_2085200_1_1_1_1,00.html

(Exel file)

Those are serious figures. If you cut much more, you run the
risk that will be cutting into essentials rather than fat.

.

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