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#11
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The AMA limits med school entrants, then encourages people to quit during residency. Choke down the supply of doctors, and ensure that their costs remain high. They limit the number of jobs (even routine work) that can be done by non-doctors. Most important, the AMA insists on self-policing, and has a code of silence, even for incompetents. Guaranteed jobs for doctors, and screw the public good. A book I have, written by a guy named Coddington called The Crisis in Health Care: Costs, Choices, and Strategies, predicted these outcomes under our market-based system: More than 40 million uninsured Continued gaps in safety net coverage Double-digit health plan rate increases Smaller employers cutting coverage or even dropping health plans Increased co-payments and deductibles for employees Large rate increases for private insurers in shrinking markets Numerous failures of HMOs and withdrawal from the market by larger insurance companies Continued cost shifting in an increasingly fragmented market Continued inflation of health care costs This book was written in the late 70's. There is only one way to move toward universal HC and that is to open Medicaid/Medicare to buy-ins. But the stakeholders, especially the AMA are not going to let this happen until their last ounce of blood gets spilled. They have too much at stake. Why would they give it up willingly? Of course they won't. The insurance companies are not the true bad guy here. The AMA is. You won't see univ HC until these two things happen: 1. The US public becomes far less tolerant of the uninsured issue than it is now. 2. You bust the AMA. F'k all the doctors and med students who moan about working 60 hour weeks to support their family and because their job demands it. Bullshit. Lots of people work big hours. You do what you need to do to be successful. And double F'k the ones who cry about their student loans. good luck. |