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View Diary: This is why we must pull their coverage (293 comments)

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  •  Idealistically, I agree with you (1+ / 0-)
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    nyceve

    but there are so, so many vested interests in the current system that to think that we can just blow it up en masse is simply not workable.

    Let's face it: 1 in 6 dollars of our economy go toward so-called 'healthcare.' Around here, the biggest part of the blame goes toward the insurers and big pharma. But just think how many jobs are dependent on the system as it is:

    - Device manufacturers - Device salespeople - Pharm reps - Nursing homes - Physical therapists - Health care execs at all sorts of levels - Marketing - Marketing

    etc.

    I bring up marketing in particular because the on of the biggest parts of the problem that differentiates the system in this country from others is not the lack of universal access but the for-profit nature of the entire system.

    It doesn't pay to keep a diabetic monitoring his blood sugar levels and going to the podiatrist; it does, however, pay well for an amputation. Not just for the surgery itself, but for the physical therapy, the prosthesis, etc. etc. etc.

    The New England Journal a couple of weeks ago had an article by Robert Kuttner that examined this very issue, and the costs associated. It's very very good.

    But how do we address this problem? IMO, from this all the rest flows. As I've said many times before, we have to stop trying to define a widget unit of health care.

    And let me just make clear, I am in no way defending the current system.

    Civil marriage is a civil right.

    by stitchmd on Thu Mar 06, 2008 at 07:06:15 AM PST

    [ Parent ]

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