Monday, November 9, 2009

U.S. Government is out of Control, here's "The Real Answer to the Healthcare Crisis, FREE MARKET HEALTHCARE"...it's really not that complicated!

The solution to this broken system is not to centralize and expand it as Obamacare promises but to dismantle and replace it. That requires courage from political leaders, a trait they notoriously lack. Consider the alternative to socialized medicine

There are at least four systemic problems that beset the current health care system that, if removed, would usher in lower costs of service, high quality care, and vast improvements in the health of the American people. As you will see, the current system, which already is socialized through Medicare for everyone 65 and older (i.e., for the part of the population that relies on medical services the most) not only fails to provide adequate medical care, it also reduces life expectancy, while the free market alternative does the opposite--provides superior care and extends life expectancy. (1) Socialized medicine creates unlimited demand for medical services. That ensures public reliance on the system to exceed resources and causes those in true need of urgent care to enter cues and have to wait for what may be care that if delayed will cause permanent injury or death. (2) Socialized medicine destroys innovation in medicine. The key to effective medical care is treatment tailored to address the peculiar characteristics of each person’s condition. Disease does not conform itself to bureaucracy. A bureaucrat loves set definitions and parameters. Diseases mutate and express themselves in varied ways within the bodies of each person. Each person comes with a host of variables that influence disease expression and progression. A one-size-fits-all approach to medicine fails because it either provides too much, too little, or insufficiently tailored care to the patient. The Medicare system removes the incentive for physicians to come to know each patient intimately. It is enough, under Medicare, to diagnose the condition and then prescribe the services that Medicare will allow (the ones that the high school educated and non-physician representatives at the carrier will allow the physician to perform on the patient). Physicians are terrified of innovation. Innovation, i.e., deviating from the Medicare prescribed and recommended course, may lead to a Medicare audit (which could threaten the viability of a medical practice). So, innovation is avoided for physician survival in Medicare’s bureaucratic system. (3) Socialized medicine destroys quality medical care. When the kind of care a doctor provides is the product of coercion and cajoling from bureaucrats working for or on behalf of the federal government, that care is anything but the best. Quality medical care not only depends on innovation in medicine but also, and perhaps most especially, on close interaction between the physician and the patient along with diligent effort by the physician to ferret out the peculiarities of the disease and find the best available means to reduce or eliminate symptomology and halt disease progression. (4) Socialized medicine eliminates incentives for personal responsibility. When a system offers a free good that everyone will need at one point or another, even when that system is suboptimal, the incentive to reduce known health risks and to save for catastrophic emergencies is reduced or eliminated. The current system depends on crisis management. Few will take simple steps every day to reduce the risk of disease because doing so may require loss of time or money and, in any event, there is no financial reward for doing so. If I buy expensive exercise equipment, hire a trainer, or seek expert advice on my diet, I will be out that money presently but will not experience any change in the costs associated with future medical care. There is no financial reward but there is a cost. Consequently, most of us plod along variously doing that which we should not leading ineluctably to a major medical crisis that may have been prevented. Socialized medicine invariably becomes bogged down with urgently needed care and fails to provide services that could reduce or eliminate the need for urgent care in many circumstances.

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