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View Diary: Best healthcare in the world? 50 million will soon be uninsured (260 comments)

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  •  Restructuring Medical-Dental Professions.... (11+ / 0-)

    must be part of universal health care, or we will not have enough professionals to care for additional patients.   And in general they are sicker than those who do have health care.

    Right now, it is little known, but even though arguably against the law, some doctors charge a retainer to those who are on Medicare.  This makes access to those who can't afford it more difficult.

    This economic crisis is not simply a recession, it is the end of an era of easy credit and a country, US, spending more than it earns.  This is a time for something different, not what FDR did as that was a different America, with no credit cards and more rural.

    So, universal health care, and with it free training based only on merit, aptitude of the student, in the medical-dental area is essential.  Medical assistances must be able to do more routine work.

    And Dental care must be included in universal care, but we can not allow a filling to only be done by someone with 20 years of education.

    Professions will fight this as much as Insurers will fight against eliminating their place in the current system.  But as we face this economic disaster, this type of radical change could not only give us medical care but transform our economy.  

    •  retainers are tantamount to "balance billing" (4+ / 0-)
      Recommended by:
      Ozzie, arodb, Pris from LA, addisnana

      which I believe is completely against the law for Medicare providers (I could be wrong, wouldn't be the first time...).
      All well-designed single-payer systems are comprehensive, so they naturally include dental, mental, vision, etc. all the way down the line to hospice.  60% of doctors support single-payer, so the professionals aren't necessarily the gatekeepers here.

    •  Well, nurses and nurse techs already do some (8+ / 0-)

      doctor work now; medical assistants sometimes have no medical education training so that's not a good option unless they're better trained and better paid. But you do make a good point. Things should be restructed with roles clarified so that no one also gets screwed when they went and spent a ton for their medical degree, they should be used for services and compensated, at the same time services need to be reasonable in cost and today they are obscenely distorted.

      In addition, medical and dental services need a restructuring, the student loans should be forgiven in return for serving in new medical centers once or twice a week in rural and urban low serviced regions. And in return for a slightly lower salary structure than the old days, as part of a cost savings measure, within reason. The cost of dental procedures is obscenely inflated, mostly due to insurance driving up reimbursements to folly. A crown costing $1600 and a bridge costing $4000 cannot possibly be market value nor slight profit above reasonable cost. Measures need to be made to restore sanity to medical procedure and equipment costs; that goes for hospitals. These issues should all be addressed in health care reform.

      Children in the U.S... detained [against] intl. & domestic standards." --Amnesty Internati

      by doinaheckuvanutjob on Wed Dec 10, 2008 at 01:18:33 AM PST

      [ Parent ]

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