There we just have disagreements and that's fine. I think that a
public payer option can substantially streamline health care costs and
produce a system that encourages preventative health care and provides
reasonable remuneration to doctors while not incurring excessive
overhead. You think otherwise. We both think the other person is a
fucking idiot with no concept of healthcare information or economics.
Well, I'm assuming that as we are on opposite sides of the issue it
seems and that's what I think of you.

"Rationing" of healthcare is a reality. Doesn't matter if the system
is private or public. The phrase itself is quite the canard. Rationing
in the historical meaning would imply "you may not have this or this
you only get this bit". But that is not what we are talking about at
all. Rather we are talking about what, potentially, an insurer will
pay for. That insurer, potentially but not actually at all mentioned
in the current governmental discussions to my chagrin, might be the
government. All plans currently under consideration retain the private
employer health care system. So how, in fact, is there rationing in
that? And even if there were a "public payer" option (dear Gods I hope
there is) it would not prevent any individual from obtaining private
insurance. So where is the rationing?

If you mean that a potential public payer option (as remote as the
possibility may seem) might not pay for some medical
procedures...well, I'm a tad confused since insurance currently
doesn't pay for all sorts of procedures. So perhaps you mean that a
public option would not miraculously fix a problem that private
insurance currently has but will do it at substantially lower prices?

Save me your ill-fitting histrionics and hand wringing Robert. On this
issue you are a concern troll and you'd do better focusing your
energies on the very real issues of providing quality care and
exploring the ways in which information technology can help the
medical industry as a whole.

Judah

On Sun, Mar 8, 2009 at 4:55 PM, Robert Munn <[email protected]> wrote:
>
> Shifting costs to the government isn't going to fix the problem, it will
> only make it worse. The end result of socialized medicine is going to be
> rationing of care. Most of the developed world has the same problem- aging
> populations and ever-more expensive drugs, tests, and surgeries. We need to
> cut costs across the board in the health care industry or we are all going
> to go bankrupt.

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