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View Diary: When Can We Expect Health Care Reform (Whoever Wins)? (369 comments)

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  •  Physician Asst. & Nurse Practitioners (0+ / 0-)

    Unfortunately you didn't seem to get my point. Maybe I wasn't clear. What I was suggesting is that Doc's are over educated, over paid, and the only remaining profession that controls the entire means of production(both intellectually/knowledge and level of supply). What I would like to see is much of the delivery of health care broken up into discrete segments, that could easily be understood, and provided with specially trained individuals(PA's NA's, etc)in that narrow area, under the supervision of a "normal" doc. These specialists could be trained in either 2 or 4 year programs and be paid accordingly. Additionally, as they would only control a limited aspect of the professional knowledge, like the rest of the "industrial revolution", the level and pace of supply, as well as the overall knowledge could be administratively controlled. Health care should more resemble producing any other good, than resembling what constitutes a "guild" structure. Add to that a shift in the gestalt of all life, regardless of quality, or disease, regardless how arcane deserves substantial investments of resources; to, prevention, prevention and accessibility, accessibility, and other related normative values and dump the idea of vast resources going into limited, arcane disease eradication.

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