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View Diary: Nate Silver On Federal "Entitlements" and "Insurance Policies"...Oh, My! (50 comments)

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  •  Nevertheless health care expenditures do threaten, (4+ / 0-)
    Recommended by:
    bobswern, chuckvw, cynndara, Egalitare

    as baby boomers age, to absorb every available dollar--  

    +People who cannot tolerate any diminution of their capacity, or who unreasonably fear death, are willing to allow the system to pay WAY too much for too little net gain in health, or for a postponement of death for a few days or weeks.  

    +Insurance companies soak up 25% minimum of health care expenditures.  They are parasites.

    +Big Pharma are the new tobacco companies, trying like the dickens (often from their mafia redoubts in Switzerland) to get us all on lifelong medication, but unwilling to make vaccines and other medicines that are one-time only.

    +Many physicians are merely medical businesspersons, not inclined to save the system a dime because the more they spend the more they get paid.  This won't change until the compensation business is changed from fee-for-service to fee-for-outcome.

    Have I left anyone out?

    Oh, government.  One word.  Gutless.
     

    Their real God is money-- Jesus just drives the armored car, and his hat is made in China. © 2009 All Rights Reserved

    by oblomov on Thu Jan 17, 2013 at 11:30:06 AM PST

    •  How so? (0+ / 0-)
      Many physicians are merely medical businesspersons, not inclined to save the system a dime because the more they spend the more they get paid
      •  Simple. (0+ / 0-)

        The more of YOUR (or your insurer's money) they spend, the more of it they receive as payment.  You have the fox guarding the hen-house.  With the best will in the world, you cannot expect an entire class of service providers to ignore their own self-interests and recommend only the most cost-effective services for clients.  Would you expect that of a salesman in ANY other field?  The bias is as natural as it is often completely unconscious.  It is simply impossible to totally ignore one's own interests repeatedly, cumulatively, and universally.  Or well, to the extent it is, those providers will quickly fail as businesses and be replaced by those who do not.

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