> Judah wrote:
> Gruss, you don't seem to appreciate that where we are at today is a
> big fucking smoking crater.

(1.) I do understand the crater, but I also understand that you don't
go fecking with an operational system when lives are at stake.  That's
just common sense ... I thought.

(2.) I only mentioned ICD-9 because Michael said that diagnosis wasn't
a menu and, in fact as demonstrated by ICD-9, it basically is.

(3.) You must've misunderstood everything I've been saying.  I'm not
saying we don't need change and I'm not saying some type of government
architected system won't work.

I'm saying I'm a skeptic with common sense which means I'm not going
to take your word for it when you don't understand the insurance
business model and think Micheal is "right" given his subject matter
expertise is limited to once having had a splinter removed in the UK.

I understand you're passionate about it (me too!) and that's great -
the industry and America needs you.  I just trying to be the voice of
reason by reminding you we need a very detailed and well thought out
approach.  And saying "nationalize healthcare!" when you can't define
it and saying insurance has a "fundamental flaw" is not that.

Read this:
http://www.newyorker.com/reporting/2009/01/26/090126fa_fact_gawande

It's written by practicing physician in Massachusetts and I basically
agree with him 100%.

Great article.

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