National Health Care Questions

[sinner]

question for you. It is simple and can be answered with a simple YES or NO. Are you willing to deny a patient's freedom to choose the level of care he or she desires and is willing to pay for it, and are you willing to deny a person who happens to be a health care provider the freedom to work for who he chooses? I'd like an answer.

No problem with the first of your one "question". Chose what you want (Jehovah Witness, Church of Scientology, the “Moonies”) as these folks all ready do.
Work for who ever you want to. I don’t care! In our “free market” health care I do that
now. Gosh I did not see in the health bill where you would become a “Federal employee”!

Your statement about Germany is time dependent: I studied them in 1985-7. What you stated about your one experience is anecdotal.
At this time there is a business in health care that is evolving: MDVIP. Interesting that some physicians are jumping to it but it is again dependent up on if you care afford the price!
I take great exception to your comment about suing for poor outcomes: We do such a poor job of policing ourselves that we are a “peers covering our own butts system”
Also aren’t we crying for tort reforms?
I am done. You won’t change and I don’t expect in my lifetime for health care to not be a political football what ever I do.
Just so you know I did develop & manage a preventive dental clinic, wellness & prevention center, an on demand mammography center and an industrial rehab process for a fortune 500 company.
Healthy employees and employees with chronic disease that is well manage, have a higher cost benefit ratio based on health care costs, productivity, absenteeism and turnover when compared to company program costs.
I have the published data to prove it. Health care cost was not the biggest contributor to that cost benefit. Just perhaps if we spend $ to keep our citizen health and to better manage those with chronic disease our financial outcome might improve!

[caryalsobrook]

http://pnhp.org/ and http://www.npr.org/series/91971170/g...h-care-for-all
if you haven't looked at these it might be worth your time.
The problem is our curent culture will not support much change.
I studied this for 13 years. None are as bad as you state and none are as good as our government states.
Interesting the Germany system found that puting physicians on a budget made a difference in cost but little impact on outcomes.
Also are you familiar with such instrument as SF36. or SF12 or 8?
I have been an advocate that "we" get paid on our outcomes for 30+ years.
So far not much luck by the NCQA to move us in that direction.

Nothing generally I could find that differed from what I said, only that Germany now also has opted for an alternative to socialized medicine by allowing a small fraction of the public to opt out of the gov. system. As far as putting doctors on a budget, that has been tried by the insurance companies with a form of insurance called capitation. A miniscule number tried it and eventually went broke or managed to get out of this form of insurance. There is no so little participation with this form of insurance if any,I have little knowledge of it now. In fact I have never known anyone to have participated in it.
As far as the sf instruments, I have no knowledge.
As far as getting paid based on outcome, we have a system that you ge sued for bad outcomes.

I have answered each and eveery question you have asked and with every post I make answering your questions, I ask you to answer one and only question which can be answered with a simple yes or no. You are obviously avoiding the question. I am sure your avoidance tells all who read these post what your answer would be.

[caryalsobrook]

question for you. It is simple and can be answered with a simple YES or NO. Are you willing to deny a patient's freedom to choose the level of care he or she desires and is willing to pay for it, and are you willing to deny a person who happens to be a health care provider the freedom to work for who he chooses? I'd like an answer.

No problem with the first of your one "question". Chose what you want (Jehovah Witness, Church of Scientology, the “Moonies”) as these folks all ready do.
Work for who ever you want to. I don’t care! In our “free market” health care I do that
now. Gosh I did not see in the health bill where you would become a “Federal employee”!

Your statement about Germany is time dependent: I studied them in 1985-7. What you stated about your one experience is anecdotal.
At this time there is a business in health care that is evolving: MDVIP. Interesting that some physicians are jumping to it but it is again dependent up on if you care afford the price!
I take great exception to your comment about suing for poor outcomes: We do such a poor job of policing ourselves that we are a “peers covering our own butts system”
Also aren’t we crying for tort reforms?
I am done. You won’t change and I don’t expect in my lifetime for health care to not be a political football what ever I do.
Just so you know I did develop & manage a preventive dental clinic, wellness & prevention center, an on demand mammography center and an industrial rehab process for a fortune 500 company.
Healthy employees and employees with chronic disease that is well manage, have a higher cost benefit ratio based on health care costs, productivity, absenteeism and turnover when compared to company program costs.
I have the published data to prove it. Health care cost was not the biggest contributor to that cost benefit. Just perhaps if we spend $ to keep our citizen health and to better manage those with chronic disease our financial outcome might improve!

not surprised you could not or would not answer a simple question with a simple answer. having practice managment people run our practices is one of the things that I consider a big mistake for us(meaning the practitioner). RJ Renolds got out of the dental business. Found out private practice did it better. A a practitioner you surely know that if the practitioner is 99.9% right and .01% wrong, he loses. Yes I have corrected faulty work in the past but my main goal was always to restore quality care and make the patient happy. If you call this covering someone's but then I a happy to do so. Nice to know that you managed a preventive dental clinic. Did you perform any of the preventive dentistry? As far as one coveering his peer's butt, did you see that in the clinic you refer to or do you personally of another clinic that did? I have had patients from at least 2 of the sects you mention and they got the very best treatment I could give. That goes for serial killers, child molesters, drug addicts, liveberaly, socialists and marxists which I have also treated. They and all others got the very best care I could give at all times. That is my proudest achievement. Notice I did not devide those that paid and those that didn't. I must admit that I have been known to tell a pataient that maybe he or she would be happier hiring another dentist but very rarely.